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AIS PHYSICIAN P.C.

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Company Details

Name: AIS PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 2013 (12 years ago)
Entity Number: 4471215
ZIP code: 11568
County: Nassau
Place of Formation: New York
Address: 70 OLD WESTBURY RD., OLD WESTBURY, NY, United States, 11568

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70 OLD WESTBURY RD., OLD WESTBURY, NY, United States, 11568

National Provider Identifier

NPI Number:
1043640220
Certification Date:
2024-09-04

Authorized Person:

Name:
DR. IJAZ AHMAD
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7186769557

Filings

Filing Number Date Filed Type Effective Date
131010000350 2013-10-10 CERTIFICATE OF INCORPORATION 2013-10-10

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State