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MILLPOND MEDICAL, P.C.

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Company Details

Name: MILLPOND MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jan 2015 (10 years ago)
Entity Number: 4699026
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 520 FRANKLIN AVENUE, SUITE L18, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 520 FRANKLIN AVENUE, SUITE L18, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1417347485

Authorized Person:

Name:
DR. MUZAFFAR ZAI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
204R00000X - Electrodiagnostic Medicine Physician
Is Primary:
No
Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5162803882

Filings

Filing Number Date Filed Type Effective Date
150123000126 2015-01-23 CERTIFICATE OF INCORPORATION 2015-01-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State