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QAISER ABBAS MEDICAL, P.C.

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Company Details

Name: QAISER ABBAS MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jun 2012 (13 years ago)
Entity Number: 4261347
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 77 N BROADWAY, HICKSVILLE, NY, United States, 11801

Contact Details

Phone +1 718-749-5921

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
QAISER ABBAS MEDICAL, P.C. DOS Process Agent 77 N BROADWAY, HICKSVILLE, NY, United States, 11801

Chief Executive Officer

Name Role Address
QAISER ABBAS Chief Executive Officer 77 N BROADWAY, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1689078644

Authorized Person:

Name:
QAISER ABBAS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7187495835

Form 5500 Series

Employer Identification Number (EIN):
455538506
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2012-06-20 2017-09-26 Address 888 ASCAN STREET, VALLEY STREAM, NY, 11580, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170926006118 2017-09-26 BIENNIAL STATEMENT 2016-06-01
120620000719 2012-06-20 CERTIFICATE OF INCORPORATION 2012-06-20

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State