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MAYANK SHAH PHYSICIAN, P.C.

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Company Details

Name: MAYANK SHAH PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Feb 2015 (10 years ago)
Date of dissolution: 27 Jul 2021
Entity Number: 4714204
ZIP code: 10990
County: Orange
Place of Formation: New York
Address: 200 RONALD REAGAN BLVD, WARWICK, NY, United States, 10990

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MAYANK SHAH DOS Process Agent 200 RONALD REAGAN BLVD, WARWICK, NY, United States, 10990

National Provider Identifier

NPI Number:
1134516677

Authorized Person:

Name:
DR. MAYANK PRATAPRAI SHAH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8459871348

History

Start date End date Type Value
2015-02-23 2021-07-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-02-23 2022-03-10 Address 200 RONALD REAGAN BLVD, WARWICK, NY, 10990, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220310000680 2021-07-27 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-07-27
150223000154 2015-02-23 CERTIFICATE OF INCORPORATION 2015-02-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State