Search icon

LIBERTY MEDICAL PRACTICE, P.C.

Company Details

Name: LIBERTY MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Feb 2004 (21 years ago)
Entity Number: 3015982
ZIP code: 11226
County: Kings
Place of Formation: New York
Address: 2848 CHURCH AVENUE, BROOKLYN, NY, United States, 11226

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2848 CHURCH AVENUE, BROOKLYN, NY, United States, 11226

National Provider Identifier

NPI Number:
1942373675

Authorized Person:

Name:
SALAH MOHAMED III
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No

Contacts:

Fax:
7187030872

Filings

Filing Number Date Filed Type Effective Date
040220000569 2004-02-20 CERTIFICATE OF INCORPORATION 2004-02-20

Date of last update: 29 Mar 2025

Sources: New York Secretary of State