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GJKS PHYSICIAN, P.C.

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Company Details

Name: GJKS PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Dec 2022 (3 years ago)
Entity Number: 6679046
ZIP code: 14072
County: Niagara
Place of Formation: New York
Address: 156 STONEBRIDGE ROAD, GRAND ISLAND, NY, United States, 14072

Contact Details

Phone +1 716-236-7880

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 156 STONEBRIDGE ROAD, GRAND ISLAND, NY, United States, 14072

National Provider Identifier

NPI Number:
1609583228
Certification Date:
2023-07-06

Authorized Person:

Name:
KAITLYNN LESTER
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7162367885

Filings

Filing Number Date Filed Type Effective Date
221230000588 2022-12-29 CERTIFICATE OF INCORPORATION 2022-12-29

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State