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PIYA GHOSHAL, M.D., P.C.

Company Details

Name: PIYA GHOSHAL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Sep 2005 (20 years ago)
Entity Number: 3254292
ZIP code: 11703
County: Suffolk
Place of Formation: New York
Address: 1722 AUGUST ROAD, NORTH BABYLON, NY, United States, 11703

Contact Details

Phone +1 631-264-8600

Shares Details

Shares issued 1000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
PIYA GHOSHAL, M.D. DOS Process Agent 1722 AUGUST ROAD, NORTH BABYLON, NY, United States, 11703

National Provider Identifier

NPI Number:
1316927049

Authorized Person:

Name:
DR. PIYA GHOSHAL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6312648403

Filings

Filing Number Date Filed Type Effective Date
050909000786 2005-09-09 CERTIFICATE OF INCORPORATION 2005-09-09

Date of last update: 29 Mar 2025

Sources: New York Secretary of State