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LIC SKYLINE MEDICINE P.C.

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Company Details

Name: LIC SKYLINE MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Apr 2023 (2 years ago)
Entity Number: 6798668
ZIP code: 11101
County: Queens
Place of Formation: New York
Address: 23-15 44 drive, ny cellar medical office, LONG ISLAND CITY, NY, United States, 11101

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 23-15 44 drive, ny cellar medical office, LONG ISLAND CITY, NY, United States, 11101

National Provider Identifier

NPI Number:
1851070890
Certification Date:
2023-07-17

Authorized Person:

Name:
DR. YALI LI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
9739108289

Filings

Filing Number Date Filed Type Effective Date
230414006024 2023-04-13 CERTIFICATE OF INCORPORATION 2023-04-13

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State