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BAY HARBOR MEDICAL, P.C.

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Company Details

Name: BAY HARBOR MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 May 2015 (10 years ago)
Date of dissolution: 12 Apr 2017
Entity Number: 4763121
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 5512 MERRICK ROAD SUITE 1, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MUZAFFAR ZAI DOS Process Agent 5512 MERRICK ROAD SUITE 1, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1164802880

Authorized Person:

Name:
DR. MUZAFFAR ZAI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170412000579 2017-04-12 CERTIFICATE OF DISSOLUTION 2017-04-12
150522000221 2015-05-22 CERTIFICATE OF INCORPORATION 2015-05-22

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State