Search icon

25A MEDICAL P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: 25A MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Dec 2021 (4 years ago)
Entity Number: 6354008
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 201 w broadway, apt 330, PORT JEFFERSON, NY, United States, 11777

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
c/o tom fiordalisi DOS Process Agent 201 w broadway, apt 330, PORT JEFFERSON, NY, United States, 11777

Agent

Name Role Address
tom fiordalisi Agent 201 w broadway, apt 330, PORT JEFFERSON, NY, 11777

National Provider Identifier

NPI Number:
1225748494
Certification Date:
2022-11-23

Authorized Person:

Name:
ANTHONY THEODORIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5187121634

Filings

Filing Number Date Filed Type Effective Date
211221002071 2021-12-20 CERTIFICATE OF INCORPORATION 2021-12-20

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 21 Mar 2025

Sources: New York Secretary of State