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PORTLAND PHYSICIAN, P.C.

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Company Details

Name: PORTLAND PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jul 2008 (17 years ago)
Entity Number: 3694880
ZIP code: 14534
County: Monroe
Place of Formation: New York
Address: 23 ARBOR CREEK DRIVE, PITTSFORD, NY, United States, 14534

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 23 ARBOR CREEK DRIVE, PITTSFORD, NY, United States, 14534

National Provider Identifier

NPI Number:
1821252040

Authorized Person:

Name:
DR. GULA-RANA MASOOD
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5854679798

Filings

Filing Number Date Filed Type Effective Date
080710000762 2008-07-10 CERTIFICATE OF INCORPORATION 2008-07-10

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State