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OMNI MEDICAL GROUP PLLC

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Company Details

Name: OMNI MEDICAL GROUP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Jun 2015 (10 years ago)
Entity Number: 4772071
ZIP code: 11377
County: Queens
Place of Formation: New York
Address: 64-13 BROADWAY, WOODSIDE, NY, United States, 11377

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 64-13 BROADWAY, WOODSIDE, NY, United States, 11377

National Provider Identifier

NPI Number:
1497136790

Authorized Person:

Name:
DR. SHAMIM AHMED
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150716000205 2015-07-16 CERTIFICATE OF CORRECTION 2015-07-16
150610000211 2015-06-10 ARTICLES OF ORGANIZATION 2015-06-10

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State