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GLENS FALLS OBSTETRICS & GYNECOLOGY, P.C.

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Company Details

Name: GLENS FALLS OBSTETRICS & GYNECOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Apr 1982 (43 years ago)
Entity Number: 766277
ZIP code: 12804
County: Warren
Place of Formation: New York
Address: 28 SOUTH WESTERN AVE, QUEENSBURY, NY, United States, 12804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DOUGLAS E PROVOST MD Chief Executive Officer 28 SOUTH WESTERN AVE, QUEENSBURY, NY, United States, 12804

DOS Process Agent

Name Role Address
DOUGLAS E PROVOST MD DOS Process Agent 28 SOUTH WESTERN AVE, QUEENSBURY, NY, United States, 12804

National Provider Identifier

NPI Number:
1275635591

Authorized Person:

Name:
DOUGLAS PROVOST
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5187980658

History

Start date End date Type Value
2006-04-28 2010-04-23 Address 28-30 S WESTERN AVE, QUEENSBURY, NY, 12804, USA (Type of address: Service of Process)
2006-04-28 2010-04-23 Address 28-30 S WESTERN AVE, QUEENSBURY, NY, 12804, USA (Type of address: Principal Executive Office)
2006-04-28 2010-04-23 Address 28-30 S WESTERN AVE, QUEENSBURY, NY, 12804, USA (Type of address: Chief Executive Officer)
1994-07-05 2014-09-12 Name GLENS FALLS OBSTETRICS & GYNECOLOGY CENTER, P.C.
1992-11-27 2006-04-28 Address ONE BROAD ST PLAZA, GLENS FALLS, NY, 12801, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
140912000153 2014-09-12 CERTIFICATE OF AMENDMENT 2014-09-12
140408006364 2014-04-08 BIENNIAL STATEMENT 2014-04-01
120525002642 2012-05-25 BIENNIAL STATEMENT 2012-04-01
100423002307 2010-04-23 BIENNIAL STATEMENT 2010-04-01
080421002361 2008-04-21 BIENNIAL STATEMENT 2008-04-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State