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HUDSON PARK MEDICINE P.C.

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Company Details

Name: HUDSON PARK MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Oct 2021 (4 years ago)
Entity Number: 6304710
ZIP code: 20852
County: Queens
Place of Formation: New York
Address: 133 Rollins Ave, Suite 3,, Rockville, MD, United States, 20852
Principal Address: 118-35 Queens Blvd., Suite 400, Forest Hills, NY, United States, 11375

Contact Details

Phone +1 800-557-8950

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
HUDSON PARK MEDICINE P.C. DOS Process Agent 133 Rollins Ave, Suite 3,, Rockville, MD, United States, 20852

Chief Executive Officer

Name Role Address
HIRENKUMAR ITALIA Chief Executive Officer 133 ROLLINS AVE, SUITE 3, ROCKVILLE, MD, United States, 20852

National Provider Identifier

NPI Number:
1568127991
Certification Date:
2021-11-01

Authorized Person:

Name:
HIRENKUMAR ITALIA
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-10-16 2023-12-13 Address 118-35 queens blvd., 4th floor, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2021-10-14 2023-12-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
231213022452 2023-12-13 BIENNIAL STATEMENT 2023-12-13
211016000263 2021-10-14 CERTIFICATE OF INCORPORATION 2021-10-14

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State