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DR. OMAR BASHAYAN, PHYSICIAN, PLLC

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Company Details

Name: DR. OMAR BASHAYAN, PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Apr 2015 (10 years ago)
Entity Number: 4743600
ZIP code: 10029
County: New York
Place of Formation: New York
Address: 155 W. 68TH STREET, NEW YORK, NY, United States, 10029

DOS Process Agent

Name Role Address
OMAR BASHAYAN DOS Process Agent 155 W. 68TH STREET, NEW YORK, NY, United States, 10029

National Provider Identifier

NPI Number:
1275918096

Authorized Person:

Name:
DR. OMAR BASHAYAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
7183343441

Filings

Filing Number Date Filed Type Effective Date
150417000092 2015-04-17 ARTICLES OF ORGANIZATION 2015-04-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State