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SUMAIYAH MEDICAL, P.C.

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Company Details

Name: SUMAIYAH MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jun 2011 (14 years ago)
Entity Number: 4105174
ZIP code: 11747
County: Suffolk
Place of Formation: New York
Address: 1 SOMERSET STREET, HUNTINGTON STATION, NY, United States, 11747
Principal Address: 1 SOMERSET ST, HUNTINGTON STATION, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1 SOMERSET STREET, HUNTINGTON STATION, NY, United States, 11747

Chief Executive Officer

Name Role Address
SAYED KHWAJA Chief Executive Officer 1 SOMERSET ST, HUNTINGTON STATION, NY, United States, 11746

National Provider Identifier

NPI Number:
1508151820
Certification Date:
2023-11-20

Authorized Person:

Name:
DR. SAYED MUSTAFAH KHWAJA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6312713018

Form 5500 Series

Employer Identification Number (EIN):
452505453
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
130619002179 2013-06-19 BIENNIAL STATEMENT 2013-06-01
110610000210 2011-06-10 CERTIFICATE OF INCORPORATION 2011-06-10

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State