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ALLIANCE FAMILY MEDICAL PRACTICE, P.C.

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Company Details

Name: ALLIANCE FAMILY MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Aug 2006 (19 years ago)
Entity Number: 3401474
ZIP code: 11803
County: Nassau
Place of Formation: New York
Address: 56 GERHARD RD, PLAINVEIW, AL, United States, 11803
Principal Address: 897 FRONT STREET, UNIONDALE, NY, United States, 11553

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ALLIANCE FAMILY MEDICAL PRACTICE, P.C. DOS Process Agent 56 GERHARD RD, PLAINVEIW, AL, United States, 11803

Chief Executive Officer

Name Role Address
RUHAYNA MUKHI Chief Executive Officer 897 FRONT ST, UNIONDALE, NY, United States, 11553

National Provider Identifier

NPI Number:
1144335977
Certification Date:
2023-11-10

Authorized Person:

Name:
DR. RUHAYNA MUKHI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5164860110

History

Start date End date Type Value
2012-05-04 2014-08-25 Address 897 FRONT ST, UNIONDALE, NY, 11553, USA (Type of address: Chief Executive Officer)
2008-11-07 2012-05-04 Address 897 FRONT STREET, UNIONDALE, NY, 11553, USA (Type of address: Chief Executive Officer)
2006-08-16 2020-08-25 Address 897 FRONT STREET, UNIONDALE, NY, 11553, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200825060241 2020-08-25 BIENNIAL STATEMENT 2020-08-01
140825006387 2014-08-25 BIENNIAL STATEMENT 2014-08-01
120504002889 2012-05-04 BIENNIAL STATEMENT 2010-08-01
090908000274 2009-09-08 CERTIFICATE OF AMENDMENT 2009-09-08
090831000791 2009-08-31 CERTIFICATE OF AMENDMENT 2009-08-31

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State