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LAGRANGEVILLE MEDICAL P.C.

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Company Details

Name: LAGRANGEVILLE MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Apr 2021 (4 years ago)
Entity Number: 5991096
ZIP code: 11205
County: Dutchess
Place of Formation: New York
Address: 99 Emerson Pl, #201, Brooklyn, NY, United States, 11205
Principal Address: 71 Franklin Ave, Franklin Square, NY, United States, 11010

Contact Details

Phone +1 845-738-8770

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LAGRANGEVILLE MEDICAL P.C. DOS Process Agent 99 Emerson Pl, #201, Brooklyn, NY, United States, 11205

Chief Executive Officer

Name Role Address
RANA HASSAN Chief Executive Officer 71 FRANKLIN AVE, FRANKLIN SQUARE, NY, United States, 11010

National Provider Identifier

NPI Number:
1861153322
Certification Date:
2024-11-01

Authorized Person:

Name:
RANA HASSAN
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-04-16 2024-09-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-04-16 2024-09-20 Address 1781 BRUZGUL RD, LAGRANGEVILLE, NY, 12540, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240920001313 2024-09-20 BIENNIAL STATEMENT 2024-09-20
210416000304 2021-04-16 CERTIFICATE OF INCORPORATION 2021-04-16

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State