| Name: | KEVIN T. CUSTIS, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 20 Apr 1999 (26 years ago) |
| Entity Number: | 2369196 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 828 WILLOUGHBY AVE, BROOKLYN, NY, United States, 11206 |
| Address ZIP Code: | 11206 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 828 WILLOUGHBY AVE, BROOKLYN, NY, United States, 11206 |
| Name | Role | Address |
|---|---|---|
| KEVIN T CUSTIS MD | Chief Executive Officer | 828 WILLOUGHBY AVE, BROOKLYN, NY, United States, 11206 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1999-04-20 | 2003-04-01 | Address | 828 WILLOUGHBY AVENUE, BROOKLYN, NY, 11206, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 030401002543 | 2003-04-01 | BIENNIAL STATEMENT | 2003-04-01 |
| 010713002268 | 2001-07-13 | BIENNIAL STATEMENT | 2001-04-01 |
| 990420000528 | 1999-04-20 | CERTIFICATE OF INCORPORATION | 1999-04-20 |
Date of last update: 12 Nov 2024
Sources: New York Secretary of State
