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PARK SLOPE MEDICAL, PLLC

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Company Details

Name: PARK SLOPE MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Nov 2012 (13 years ago)
Entity Number: 4317354
ZIP code: 11215
County: Kings
Place of Formation: New York
Address: 405 5TH AVENUE, BROOKLYN, NY, United States, 11215

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 405 5TH AVENUE, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:
1285046375

Authorized Person:

Name:
ABDULQUADER KHAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7187687303

Form 5500 Series

Employer Identification Number (EIN):
112237976
Plan Year:
2019
Number Of Participants:
1
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
181120006470 2018-11-20 BIENNIAL STATEMENT 2018-11-01
161104007292 2016-11-04 BIENNIAL STATEMENT 2016-11-01
130109000059 2013-01-09 CERTIFICATE OF PUBLICATION 2013-01-09
121107000318 2012-11-07 ARTICLES OF ORGANIZATION 2012-11-07

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State