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BIG LEAP MEDICAL PRACTICE OF NEW YORK P.C.

Company Details

Name: BIG LEAP MEDICAL PRACTICE OF NEW YORK P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Jul 2024 (10 months ago)
Entity Number: 7386614
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 169 madison ave ste 2828, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 169 madison ave ste 2828, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1801614235
Certification Date:
2024-10-03

Authorized Person:

Name:
SUMEET VADERA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240731003213 2024-07-30 CERTIFICATE OF INCORPORATION 2024-07-30

Date of last update: 19 Mar 2025

Sources: New York Secretary of State