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MICHAEL KAZIM, M.D., P.C.

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Company Details

Name: MICHAEL KAZIM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Nov 1997 (28 years ago)
Entity Number: 2197691
ZIP code: 10032
County: New York
Place of Formation: New York
Address: 635 WEST 165TH ST, NEW YORK, NY, United States, 10032

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MICHAEL KAZIM, MD DOS Process Agent 635 WEST 165TH ST, NEW YORK, NY, United States, 10032

Chief Executive Officer

Name Role Address
MICHAEL KAZIM, MD Chief Executive Officer 635 WEST 165TH ST, NEW YORK, NY, United States, 10032

National Provider Identifier

NPI Number:
1689836744

Authorized Person:

Name:
DR. MICHAEL KAZIM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2129230075

Form 5500 Series

Employer Identification Number (EIN):
133981311
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:

History

Start date End date Type Value
1997-11-10 2000-01-07 Address 635 WEST 165TH STREET/ STE 210, NEW YORK, NY, 10032, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000107002439 2000-01-07 BIENNIAL STATEMENT 1999-11-01
971110000019 1997-11-10 CERTIFICATE OF INCORPORATION 1997-11-10

USAspending Awards / Financial Assistance

Date:
2020-05-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-48005.00
Total Face Value Of Loan:
0.00

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State