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MARWA MOUSSA PHYSICIAN, P.C.

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Company Details

Name: MARWA MOUSSA PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Dec 2012 (13 years ago)
Entity Number: 4333451
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: 22 PUTTERS COURT, STATEN ISLAND, NY, United States, 10301

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 22 PUTTERS COURT, STATEN ISLAND, NY, United States, 10301

National Provider Identifier

NPI Number:
1598004111

Authorized Person:

Name:
MARWA MOUSSA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7186821059

Filings

Filing Number Date Filed Type Effective Date
121217000019 2012-12-17 CERTIFICATE OF INCORPORATION 2012-12-17

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State