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MARK H. KROTOWSKI M.D. P.C.

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Company Details

Name: MARK H. KROTOWSKI M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Jun 1983 (42 years ago)
Entity Number: 849261
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 626 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARK H. KROTOWSKI Chief Executive Officer 626 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

DOS Process Agent

Name Role Address
MARK H. KROTOWSKI DOS Process Agent 626 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1841433430

Authorized Person:

Name:
DR. MARK H. KROTOWSKI
Role:
PHYSICIAN/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5165696745

History

Start date End date Type Value
1983-06-16 1993-02-03 Address 525 JORGEN ST., LAWRENCE, NY, 11559, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000049006709 1993-09-29 BIENNIAL STATEMENT 1993-06-01
930203002115 1993-02-03 BIENNIAL STATEMENT 1992-06-01
A990754-5 1983-06-16 CERTIFICATE OF INCORPORATION 1983-06-16

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State