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SIA MEDICAL, P.C.

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Company Details

Name: SIA MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Apr 2021 (4 years ago)
Entity Number: 6000557
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 111 EIGHTH AVENUE, 13TH FLOOR, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 111 EIGHTH AVENUE, 13TH FLOOR, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1043889967
Certification Date:
2021-06-24

Authorized Person:

Name:
DAVID BASS
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
2083B0002X - Obesity Medicine (Preventive Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210428000503 2021-04-28 CERTIFICATE OF INCORPORATION 2021-04-28

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State