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SOUTHERN WESTCHESTER FAMILY MEDICINE, P.C.

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Company Details

Name: SOUTHERN WESTCHESTER FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 2005 (20 years ago)
Entity Number: 3221219
ZIP code: 10703
County: Westchester
Place of Formation: New York
Address: 131 PARK AVENUE, YONKERS, NY, United States, 10703

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 131 PARK AVENUE, YONKERS, NY, United States, 10703

National Provider Identifier

NPI Number:
1154393536
Certification Date:
2024-01-08

Authorized Person:

Name:
LUAY S MARJI
Role:
PHYSICAN / OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
9143751771

Filings

Filing Number Date Filed Type Effective Date
050819000855 2005-08-19 CERTIFICATE OF AMENDMENT 2005-08-19
050621000461 2005-06-21 CERTIFICATE OF INCORPORATION 2005-06-21

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State