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NADEREH RAFAT, M.D., P.C.

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Company Details

Name: NADEREH RAFAT, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jan 1996 (29 years ago)
Entity Number: 1994078
ZIP code: 10550
County: Westchester
Place of Formation: New York
Address: 153 STEVENS AVENUE SUITE # 5, MOUNT VERNON, NY, United States, 10550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NADEREH RAFAT, M.D., P.C. DOS Process Agent 153 STEVENS AVENUE SUITE # 5, MOUNT VERNON, NY, United States, 10550

Chief Executive Officer

Name Role Address
NADEREH RAFAT, MD Chief Executive Officer 153 STEVENS AVENUE SUITE # 5, MOUNT VERNON, NY, United States, 10550

National Provider Identifier

NPI Number:
1841565389

Authorized Person:

Name:
DR. NADEREH RAFAT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9146672421

History

Start date End date Type Value
1998-01-28 2019-08-20 Address 474 WESTCHESTER AVE, PORT CHESTER, NY, 10573, USA (Type of address: Chief Executive Officer)
1998-01-28 2019-08-20 Address 474 WESTCHESTER AVE, PORT CHESTER, NY, 10573, USA (Type of address: Principal Executive Office)
1996-01-26 2019-08-20 Address 474 WESTCHESTER AVENUE, PORT CHESTER, NY, 10573, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190820060177 2019-08-20 BIENNIAL STATEMENT 2018-01-01
140324002052 2014-03-24 BIENNIAL STATEMENT 2014-01-01
120409002340 2012-04-09 BIENNIAL STATEMENT 2012-01-01
100209002473 2010-02-09 BIENNIAL STATEMENT 2010-01-01
080107002970 2008-01-07 BIENNIAL STATEMENT 2008-01-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State