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MOBILE DENTAL ANESTHESIOLOGY OF NEW YORK, P.C.

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Company Details

Name: MOBILE DENTAL ANESTHESIOLOGY OF NEW YORK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Feb 2021 (5 years ago)
Entity Number: 5934377
ZIP code: 11581
County: Nassau
Place of Formation: New York
Address: 783 BUNKER ROAD, VALLEY STREAM, NY, United States, 11581

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 783 BUNKER ROAD, VALLEY STREAM, NY, United States, 11581

National Provider Identifier

NPI Number:
1609500529
Certification Date:
2022-07-15

Authorized Person:

Name:
DR. DAVID PFEFFER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1223D0004X - Dentist Anesthesiologist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862004385
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2021-02-04 2023-04-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210204000420 2021-02-04 CERTIFICATE OF INCORPORATION 2021-02-04

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State