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VIJAY SHAH, PHYSICIAN, P.C.

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Company Details

Name: VIJAY SHAH, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Aug 2001 (24 years ago)
Entity Number: 2667357
ZIP code: 11596
County: Nassau
Place of Formation: New York
Address: VIJAY RATANLAL SHAH, 17 GORDON DRIVE, WILLISTON PARK, NY, United States, 11596
Principal Address: 17 GORDON DRIVE, WILLISTON PARK, NY, United States, 11596

Contact Details

Phone +1 631-758-7866

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
VIJAY SHAH Chief Executive Officer 17 GORDON DRIVE, WILLISTON PARK, NY, United States, 11596

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent VIJAY RATANLAL SHAH, 17 GORDON DRIVE, WILLISTON PARK, NY, United States, 11596

National Provider Identifier

NPI Number:
1073892337

Authorized Person:

Name:
DR. VIJAY R SHAH
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
7182047470

Filings

Filing Number Date Filed Type Effective Date
130913002412 2013-09-13 BIENNIAL STATEMENT 2013-08-01
101123002427 2010-11-23 BIENNIAL STATEMENT 2009-08-01
070809003279 2007-08-09 BIENNIAL STATEMENT 2007-08-01
060310003057 2006-03-10 BIENNIAL STATEMENT 2005-08-01
030731002580 2003-07-31 BIENNIAL STATEMENT 2003-08-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State