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SOPHIA L. FU, M.D., P.C.

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Company Details

Name: SOPHIA L. FU, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jan 2016 (9 years ago)
Entity Number: 4888146
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 580 UNION BOULEVARD, WEST ISLIP, NY, United States, 11795

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 580 UNION BOULEVARD, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1346600541

Authorized Person:

Name:
DENISE BELLO
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160129000817 2016-01-29 CERTIFICATE OF INCORPORATION 2016-01-29

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State