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BEACON HEALTH MEDICAL P.C.

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Company Details

Name: BEACON HEALTH MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Aug 2024 (a year ago)
Entity Number: 7403505
ZIP code: 11224
County: Kings
Place of Formation: New York
Address: 221 sea breeze ave., #ph2b, BROOKLYN, NY, United States, 11224

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the p.c. DOS Process Agent 221 sea breeze ave., #ph2b, BROOKLYN, NY, United States, 11224

National Provider Identifier

NPI Number:
1679393052
Certification Date:
2024-10-25

Authorized Person:

Name:
MARK ILYAGU
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3476185973

Filings

Filing Number Date Filed Type Effective Date
240822003004 2024-08-21 CERTIFICATE OF INCORPORATION 2024-08-21

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State