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FOUR CORNERS MEDICAL P.C.

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Company Details

Name: FOUR CORNERS MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Aug 2021 (4 years ago)
Entity Number: 6238411
ZIP code: 11214
County: Kings
Place of Formation: New York
Address: 2327 83RD STREET, SUITE B, BROOKLYN, NY, United States, 11214

Contact Details

Phone +1 347-415-7347

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2327 83RD STREET, SUITE B, BROOKLYN, NY, United States, 11214

National Provider Identifier

NPI Number:
1356071526
Certification Date:
2025-05-21

Authorized Person:

Name:
JEAN-YVES DASTAIN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3473177895

History

Start date End date Type Value
2021-08-06 2023-12-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210807000267 2021-08-06 CERTIFICATE OF INCORPORATION 2021-08-06

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State