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RED ROAD MEDICAL P.C.

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Company Details

Name: RED ROAD MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Aug 2021 (4 years ago)
Entity Number: 6260496
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 79 madison ave 8th fl, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
rich and bander llp DOS Process Agent 79 madison ave 8th fl, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1649850629
Certification Date:
2021-04-15

Authorized Person:

Name:
KELLIE CAREY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210817002681 2021-08-17 CERTIFICATE OF INCORPORATION 2021-08-17

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State