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KIRKWOOD MEDICAL PRACTICE P.C.

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Company Details

Name: KIRKWOOD MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Oct 2022 (3 years ago)
Entity Number: 6837116
ZIP code: 13795
County: Broome
Place of Formation: New York
Address: 865 nys route 11, KIRKWOOD, NY, United States, 13795

Contact Details

Phone +1 607-608-3292

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 865 nys route 11, KIRKWOOD, NY, United States, 13795

National Provider Identifier

NPI Number:
1497530463
Certification Date:
2023-08-26

Authorized Person:

Name:
DR. JEMILLE SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230518002006 2022-10-21 CERTIFICATE OF INCORPORATION 2022-10-21

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State