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ZAKI BADAWY, M.D., P.C.

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Company Details

Name: ZAKI BADAWY, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Feb 2016 (9 years ago)
Entity Number: 4899104
ZIP code: 13214
County: Oswego
Place of Formation: New York
Address: 5793 widewaters parkway, suite 210, dewitt, NY, United States, 13214
Principal Address: C/O Centolella Law, P.C. 5793 Widewaters Pkwy., Suite 210, Dewitt, NY, United States, 13214

Contact Details

Phone +1 315-726-3861

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
c/o centolella law, p.c. DOS Process Agent 5793 widewaters parkway, suite 210, dewitt, NY, United States, 13214

Chief Executive Officer

Name Role Address
ZAKI BADAWY, M.D. Chief Executive Officer C/O CENTOLELLA LAW, P.C. 5793 WIDEWATERS PKWY., SUITE 210, DEWITT, NY, United States, 13214

National Provider Identifier

NPI Number:
1871206474
Certification Date:
2022-12-29

Authorized Person:

Name:
LORI ANN SPRINGER
Role:
EXECUTIVE ASSISTANT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
811565813
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:

History

Start date End date Type Value
2016-02-19 2022-11-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2016-02-19 2023-07-16 Address 177 WEST 4TH STREET, OSWEGO, NY, 13126, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230716000123 2022-11-18 CERTIFICATE OF CHANGE BY ENTITY 2022-11-18
221116000812 2022-11-16 BIENNIAL STATEMENT 2022-02-01
160219000606 2016-02-19 CERTIFICATE OF INCORPORATION 2016-02-19

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State