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CITIMED 360 P.C.

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Company Details

Name: CITIMED 360 P.C.
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Jul 2024 (a year ago)
Entity Number: 7380105
ZIP code: 11374
County: Queens
Place of Formation: New Jersey
Foreign Legal Name: CITIMED 360 P.C.
Address: 99-01 63rd rd, REGO PARK, NY, United States, 11374

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 99-01 63rd rd, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1386476281
Certification Date:
2024-07-25

Authorized Person:

Name:
TATYANA RABINOVICH
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240723002957 2024-07-22 APPLICATION OF AUTHORITY 2024-07-22

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State