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BETHEL MEDICAL FAMILY PRACTICE, P.C.

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Company Details

Name: BETHEL MEDICAL FAMILY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Sep 2006 (19 years ago)
Entity Number: 3407907
ZIP code: 12207
County: Sullivan
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Phone +1 845-794-3300

Phone +1 607-498-4121

Phone +1 845-292-4200

Phone +1 845-583-5620

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1982718607

Authorized Person:

Name:
IMRAN AHMED
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8455838084

Filings

Filing Number Date Filed Type Effective Date
060901000442 2006-09-01 CERTIFICATE OF INCORPORATION 2006-09-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State