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REHANA LATIF, PHYSICIAN, P.C.

Company Details

Name: REHANA LATIF, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 27 Aug 1997 (28 years ago)
Date of dissolution: 21 Aug 2014
Entity Number: 2175048
ZIP code: 10708
County: Westchester
Place of Formation: New York
Address: 130 PONDFIELD RD, STE 2, BRONXVILLE, NY, United States, 10708

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
REHANA LATIF MD DOS Process Agent 130 PONDFIELD RD, STE 2, BRONXVILLE, NY, United States, 10708

Chief Executive Officer

Name Role Address
REHANA LATIF MD Chief Executive Officer 130 PONDFIELD RD, STE 2, BRONXVILLE, NY, United States, 10708

National Provider Identifier

NPI Number:
1639361355

Authorized Person:

Name:
DR. REHANA LATIF
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9147715278
Fax:
9143377013

History

Start date End date Type Value
1997-08-27 1999-08-24 Address 130 PONDFIELD ROAD / STE: #2, BRONXVILLE, NY, 10708, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140821000202 2014-08-21 CERTIFICATE OF DISSOLUTION 2014-08-21
110928002417 2011-09-28 BIENNIAL STATEMENT 2011-08-01
090825002611 2009-08-25 BIENNIAL STATEMENT 2009-08-01
070809003256 2007-08-09 BIENNIAL STATEMENT 2007-08-01
051019002153 2005-10-19 BIENNIAL STATEMENT 2005-08-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State