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OMER TIPU PHYSICIAN PC

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Company Details

Name: OMER TIPU PHYSICIAN PC
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Apr 2014 (11 years ago)
Entity Number: 4560184
ZIP code: 08832
County: Kings
Place of Formation: New Jersey
Address: 710 SUNNYVIEW OVAL, KEASBEY, NJ, United States, 08832

Contact Details

Phone +1 718-972-4200

DOS Process Agent

Name Role Address
OMER TIPU DOS Process Agent 710 SUNNYVIEW OVAL, KEASBEY, NJ, United States, 08832

National Provider Identifier

NPI Number:
1780004358

Authorized Person:

Name:
OMER TIPU
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140410000657 2014-04-10 APPLICATION OF AUTHORITY 2014-04-10

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State