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HARRY JACKSON, M.D., P.C.

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Company Details

Name: HARRY JACKSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Jun 1983 (42 years ago)
Entity Number: 847516
ZIP code: 10543
County: Kings
Place of Formation: New York
Address: 395 CLAFLEN AVE., MAMARONECK, NY, United States, 10543

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
HARRY JACKSON DOS Process Agent 395 CLAFLEN AVE., MAMARONECK, NY, United States, 10543

National Provider Identifier

NPI Number:
1265411474

Authorized Person:

Name:
HARRY JACKSON
Role:
SOLE PROPRIETER
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
061089689
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
A988428-5 1983-06-09 CERTIFICATE OF INCORPORATION 1983-06-09

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State