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CROSS COUNTY PODIATRY, P.C.

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Company Details

Name: CROSS COUNTY PODIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Feb 2021 (4 years ago)
Entity Number: 5932036
ZIP code: 11001
County: Nassau
Place of Formation: New York
Address: 250-62 JERICHO TPKE, BELLEROSE, NY, United States, 11001

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 250-62 JERICHO TPKE, BELLEROSE, NY, United States, 11001

National Provider Identifier

NPI Number:
1275128126
Certification Date:
2021-03-03

Authorized Person:

Name:
DR. ALBERT SAMANDAROV
Role:
PODIATRIST
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210202000216 2021-02-02 CERTIFICATE OF INCORPORATION 2021-02-02

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State