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EDWARDO M. YAMBO, M.D., P.C.

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Company Details

Name: EDWARDO M. YAMBO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Nov 1981 (44 years ago)
Entity Number: 734140
ZIP code: 11782
County: Suffolk
Place of Formation: New York
Address: 153 MAIN ST., SAYVILLE, NY, United States, 11782

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ROBERT A. GREEN DOS Process Agent 153 MAIN ST., SAYVILLE, NY, United States, 11782

National Provider Identifier

NPI Number:
1194829754

Authorized Person:

Name:
EDWARDO MARTH YAMBO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3166508166
Fax:
6316650816

Filings

Filing Number Date Filed Type Effective Date
A814555-5 1981-11-13 CERTIFICATE OF INCORPORATION 1981-11-13

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State