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MARYAM BROUKHIM, M.D., P.C.

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Company Details

Name: MARYAM BROUKHIM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jul 2007 (18 years ago)
Entity Number: 3550137
ZIP code: 11576
County: Nassau
Place of Formation: New York
Address: 70 GLENWOOD ROAD, ROSLYN, NY, United States, 11576
Principal Address: 900 NORTHERN BLVD, SUITE 250, GREAT NECK, NY, United States, 11021

Contact Details

Phone +1 516-487-3783

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70 GLENWOOD ROAD, ROSLYN, NY, United States, 11576

Chief Executive Officer

Name Role Address
MARYAM BROUKHIM Chief Executive Officer 70 GLENWOOD RD, ROSLYN HARBOR, NY, United States, 11576

Form 5500 Series

Employer Identification Number (EIN):
260752180
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
9
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
130708007342 2013-07-08 BIENNIAL STATEMENT 2013-07-01
090724003147 2009-07-24 BIENNIAL STATEMENT 2009-07-01
070731000822 2007-07-31 CERTIFICATE OF INCORPORATION 2007-07-31

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State