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INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C.

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Company Details

Name: INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Apr 2011 (14 years ago)
Entity Number: 4083607
ZIP code: 11213
County: Kings
Place of Formation: New York
Address: ATTN: PRESIDENT, 1545 ATLANTIC AVENUE, BROOKLYN, NY, United States, 11213
Principal Address: 1545 ATLANTIC AVE, BROOKLYN, NY, United States, 11213

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
GARY ALMEDO STEPHENS Chief Executive Officer 1545 ATLANTIC AVE, BROOKLYN, NY, United States, 11213

DOS Process Agent

Name Role Address
INTERFAITH MEDICAL CENTER DOS Process Agent ATTN: PRESIDENT, 1545 ATLANTIC AVENUE, BROOKLYN, NY, United States, 11213

National Provider Identifier

NPI Number:
1457643991
Certification Date:
2021-09-28

Authorized Person:

Name:
GARY STEPHENS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No

Contacts:

Fax:
7186136422
Fax:
7186134101

History

Start date End date Type Value
2024-04-29 2024-04-29 Address 1545 ATLANTIC AVE, BROOKLYN, NY, 11213, USA (Type of address: Chief Executive Officer)
2024-04-29 2025-03-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2013-05-29 2024-04-29 Address 1545 ATLANTIC AVE, BROOKLYN, NY, 11213, USA (Type of address: Chief Executive Officer)
2011-04-19 2024-04-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-04-19 2024-04-29 Address ATTN: PRESIDENT, 1545 ATLANTIC AVENUE, BROOKLYN, NY, 11213, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240429001748 2024-04-29 BIENNIAL STATEMENT 2024-04-29
130529002047 2013-05-29 BIENNIAL STATEMENT 2013-04-01
110419000960 2011-04-19 CERTIFICATE OF INCORPORATION 2011-04-19

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State