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PRIMARY CARE PHYSICIAN SPECIALIST P.C.

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Company Details

Name: PRIMARY CARE PHYSICIAN SPECIALIST P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Oct 2023 (2 years ago)
Entity Number: 7166856
ZIP code: 10502
County: Bronx
Place of Formation: New York
Address: 482 winding rd north, ARDSLEY, NY, United States, 10502

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 482 winding rd north, ARDSLEY, NY, United States, 10502

National Provider Identifier

NPI Number:
1205671583
Certification Date:
2024-09-23

Authorized Person:

Name:
ANDREA ELBA ANDRADE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7188285029

Filings

Filing Number Date Filed Type Effective Date
231025002671 2023-10-20 CERTIFICATE OF INCORPORATION 2023-10-20

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State