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TAL MEDNICK MD P.C.

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Company Details

Name: TAL MEDNICK MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jun 2021 (4 years ago)
Entity Number: 6039681
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 411 OAK NECK RD, WEST ISLIP, NY, United States, 11795
Principal Address: 411 OAK NECK ROAD, WEST ISLIP, NY, United States, 11795

Contact Details

Phone +1 631-309-5222

Phone +1 718-806-1434

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TAL MEDNICK MD P.C. DOS Process Agent 411 OAK NECK RD, WEST ISLIP, NY, United States, 11795

Chief Executive Officer

Name Role Address
TAL MEDNICK Chief Executive Officer 411 OAK NECK ROAD, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1306571740
Certification Date:
2023-04-17

Authorized Person:

Name:
TAL MEDNICK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
6313033380

History

Start date End date Type Value
2021-06-18 2024-04-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-06-18 2024-04-24 Address 139 PARIS CT, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240424001008 2024-04-24 BIENNIAL STATEMENT 2024-04-24
210618000232 2021-06-18 CERTIFICATE OF INCORPORATION 2021-06-18

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State