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JOSHUA SISSER, MD, P.C.

Company Details

Name: JOSHUA SISSER, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Dec 2021 (4 years ago)
Entity Number: 6341703
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 775 PARK AVENUE, STE. 225, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 775 PARK AVENUE, STE. 225, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1518627306
Certification Date:
2021-12-21

Authorized Person:

Name:
JOSHUA SISSER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
7183876429

Filings

Filing Number Date Filed Type Effective Date
211203002657 2021-12-03 CERTIFICATE OF INCORPORATION 2021-12-03

Date of last update: 21 Mar 2025

Sources: New York Secretary of State