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MOUNT TABOR MEDICAL P.C.

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Company Details

Name: MOUNT TABOR MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Dec 2022 (3 years ago)
Entity Number: 6663371
ZIP code: 11204
County: Kings
Place of Formation: New York
Address: 5314 16th ave, ste 197, BROOKLYN, NY, United States, 11204

Contact Details

Phone +1 212-739-1799

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 5314 16th ave, ste 197, BROOKLYN, NY, United States, 11204

National Provider Identifier

NPI Number:
1356123947
Certification Date:
2023-10-26

Authorized Person:

Name:
ELI INZLICHT-SPREI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-12-08 2023-10-11 Address 1573 east 22nd street, BROOKLYN, NY, 11230, USA (Type of address: Service of Process)
2022-12-06 2023-10-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
231011000395 2023-10-10 CERTIFICATE OF AMENDMENT 2023-10-10
221208000026 2022-12-06 CERTIFICATE OF INCORPORATION 2022-12-06

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State