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J FORD MEDICAL P.C.

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Company Details

Name: J FORD MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jun 2022 (3 years ago)
Entity Number: 6513893
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 8105 4th avenue,, apt 5h, BROOKLYN, NY, United States, 11209

Contact Details

Phone +1 347-395-6424

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the p.c. DOS Process Agent 8105 4th avenue,, apt 5h, BROOKLYN, NY, United States, 11209

National Provider Identifier

NPI Number:
1134832553
Certification Date:
2022-12-30

Authorized Person:

Name:
JASON FORD
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5167504029

History

Start date End date Type Value
2022-06-15 2022-09-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220616002792 2022-06-15 CERTIFICATE OF INCORPORATION 2022-06-15

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State