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MID ISLAND MEDICAL P.C.

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Company Details

Name: MID ISLAND MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Mar 2016 (9 years ago)
Entity Number: 4909947
ZIP code: 11520
County: Suffolk
Place of Formation: New York
Address: 31 GUY LOMBARDO AVENUE, FREEPORT, NY, United States, 11520

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 31 GUY LOMBARDO AVENUE, FREEPORT, NY, United States, 11520

National Provider Identifier

NPI Number:
1356830954

Authorized Person:

Name:
MUSARRAT IQBAL
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2016-03-09 2024-07-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
160309000636 2016-03-09 CERTIFICATE OF INCORPORATION 2016-03-09

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State