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SHAHRAM HORMOZI, M.D., P.C.

Company Details

Name: SHAHRAM HORMOZI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Dec 2004 (21 years ago)
Entity Number: 3132653
ZIP code: 11791
County: Suffolk
Place of Formation: New York
Address: 30 COACH LN, MUTTONTOWN, NY, United States, 11791

Contact Details

Phone +1 631-224-1593

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAHRAM HORMOZI Chief Executive Officer 30 COACH LN, MUTTONTOWN, NY, United States, 11791

DOS Process Agent

Name Role Address
SHAHRAM HORMOZI DOS Process Agent 30 COACH LN, MUTTONTOWN, NY, United States, 11791

National Provider Identifier

NPI Number:
1891932356

Authorized Person:

Name:
DR. SHAHRAM HORMOZI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
Yes

Contacts:

Fax:
6312241812

History

Start date End date Type Value
2023-05-30 2025-04-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2008-12-30 2016-12-12 Address 30 COACH LN, MUTTONTOWN, NY, 11791, USA (Type of address: Chief Executive Officer)
2008-12-30 2020-12-04 Address 30 COACH LN, MUTTONTOWN, NY, 11791, USA (Type of address: Service of Process)
2004-12-02 2023-05-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-12-02 2008-12-30 Address SUITE 200, 464 NEW YORK AVENUE, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201204060297 2020-12-04 BIENNIAL STATEMENT 2020-12-01
190110060015 2019-01-10 BIENNIAL STATEMENT 2018-12-01
161212006731 2016-12-12 BIENNIAL STATEMENT 2016-12-01
150107006733 2015-01-07 BIENNIAL STATEMENT 2014-12-01
130522006221 2013-05-22 BIENNIAL STATEMENT 2012-12-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State