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BEHROUZ FARAHMANDPOUR D.O., P.C.

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Company Details

Name: BEHROUZ FARAHMANDPOUR D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Oct 2005 (20 years ago)
Entity Number: 3265237
ZIP code: 11426
County: Queens
Place of Formation: New York
Address: 247-11 UNION TURNPIKE, BELLEROSE, NY, United States, 11426

Shares Details

Shares issued 1500

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 247-11 UNION TURNPIKE, BELLEROSE, NY, United States, 11426

National Provider Identifier

NPI Number:
1750797890

Authorized Person:

Name:
DR. BEHROUZ FARAHMANDPOUR
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6313851272

Filings

Filing Number Date Filed Type Effective Date
051005000692 2005-10-05 CERTIFICATE OF INCORPORATION 2005-10-05

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State