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GHAZANFAR W. HAIDERY, M.D., P.C.

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Company Details

Name: GHAZANFAR W. HAIDERY, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Aug 2000 (25 years ago)
Entity Number: 2545894
ZIP code: 11545
County: Nassau
Place of Formation: New York
Address: 997 GLEN COVE AVE, GLEN HEAD, NY, United States, 11545
Principal Address: 28 HURON STREET, GLEN HEAD, NY, United States, 11545

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
GHAZANFAR W HAIDERY Chief Executive Officer PO BOX 447, GLEN HEAD, NY, United States, 11545

DOS Process Agent

Name Role Address
GHAZANFAR W HAIDERY DOS Process Agent 997 GLEN COVE AVE, GLEN HEAD, NY, United States, 11545

National Provider Identifier

NPI Number:
1619141645

Authorized Person:

Name:
DR. GHAZANFAR WADE HAIDERY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5167595946

Form 5500 Series

Employer Identification Number (EIN):
113563218
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2004-09-24 2008-08-08 Address 26 GEORGE ST, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Principal Executive Office)
2002-07-23 2008-08-08 Address 26 GEORGE ST, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Chief Executive Officer)
2002-07-23 2004-09-24 Address 26 GEORGE ST, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Principal Executive Office)
2002-07-23 2004-09-24 Address 26 GEORGE ST, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)
2000-08-24 2002-07-23 Address 26 GEORGE STREET, ROSLYN HEIGHTS, NY, 11577, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120823002575 2012-08-23 BIENNIAL STATEMENT 2012-08-01
100824002145 2010-08-24 BIENNIAL STATEMENT 2010-08-01
080808002932 2008-08-08 BIENNIAL STATEMENT 2008-08-01
060911002047 2006-09-11 BIENNIAL STATEMENT 2006-08-01
040924002114 2004-09-24 BIENNIAL STATEMENT 2004-08-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State