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BETHPAGE MEDICAL WELLNESS P.C.

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Company Details

Name: BETHPAGE MEDICAL WELLNESS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Sep 2012 (13 years ago)
Entity Number: 4293062
ZIP code: 11756
County: Nassau
Place of Formation: New York
Address: 37 MERIDAN ROAD, LEVITTOWN, NY, United States, 11756

Contact Details

Phone +1 516-796-4433

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 37 MERIDAN ROAD, LEVITTOWN, NY, United States, 11756

National Provider Identifier

NPI Number:
1578813838
Certification Date:
2024-06-27

Authorized Person:

Name:
DR. BITA ASHOURZADEH
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
120907000449 2012-09-07 CERTIFICATE OF INCORPORATION 2012-09-07

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State