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CAMERON K. ROKHSAR, MD, P.C.

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Company Details

Name: CAMERON K. ROKHSAR, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Aug 2005 (20 years ago)
Entity Number: 3248052
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 13 DEVONSHIRE DRIVE, NEW HYDE PARK, NY, United States, 11040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 13 DEVONSHIRE DRIVE, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1447471560
Certification Date:
2021-09-13

Authorized Person:

Name:
MS. GINNY CRISCUOLI
Role:
BILLING
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5165127617

Filings

Filing Number Date Filed Type Effective Date
050825000126 2005-08-25 CERTIFICATE OF INCORPORATION 2005-08-25

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State