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COUNTRY WIDE MEDICAL SERVICES, P.C.

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Company Details

Name: COUNTRY WIDE MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Feb 2015 (10 years ago)
Entity Number: 4716027
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: ATTN: NOOR KHAN, M.D., 1979 MARCUS AVENUE, STE 210, LAKE SUCCESS, NY, United States, 11042

Contact Details

Phone +1 718-527-1246

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: NOOR KHAN, M.D., 1979 MARCUS AVENUE, STE 210, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1598134488

Authorized Person:

Name:
JEFFREY WASHINGTON
Role:
GROUP MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150225000374 2015-02-25 CERTIFICATE OF INCORPORATION 2015-02-25

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State