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COUNTRY DOCTORS/FAMILY MEDICINE/HAUPPAUGE, P.C.

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Company Details

Name: COUNTRY DOCTORS/FAMILY MEDICINE/HAUPPAUGE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Aug 1999 (26 years ago)
Entity Number: 2405930
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 908 WHEELER ROAD, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O THE CORPORATION DOS Process Agent 908 WHEELER ROAD, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1790815942

Authorized Person:

Name:
CHARLES R. TIMSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6313516995

Filings

Filing Number Date Filed Type Effective Date
990805000449 1999-08-05 CERTIFICATE OF INCORPORATION 1999-08-05

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State