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INTEGRATIVE 1 MEDICAL P.C.

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Company Details

Name: INTEGRATIVE 1 MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 09 Mar 2012 (13 years ago)
Date of dissolution: 23 Oct 2014
Entity Number: 4214238
ZIP code: 11710
County: Nassau
Place of Formation: New York
Address: 2060 BELLMORE AVENUE, BELLMORE, NY, United States, 11710

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2060 BELLMORE AVENUE, BELLMORE, NY, United States, 11710

National Provider Identifier

NPI Number:
1891051918

Authorized Person:

Name:
DR. HESKELL KHOZOURI-ZADEH
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
5167550330

Filings

Filing Number Date Filed Type Effective Date
141023000536 2014-10-23 CERTIFICATE OF DISSOLUTION 2014-10-23
120309000225 2012-03-09 CERTIFICATE OF INCORPORATION 2012-03-09

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State