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KASHYAR KHODABAKHSH M.D. P.C.

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Company Details

Name: KASHYAR KHODABAKHSH M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Jun 2017 (8 years ago)
Entity Number: 5159220
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 260 MIDDLE NECK ROAD, #1E, GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 260 MIDDLE NECK ROAD, #1E, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1164940490

Authorized Person:

Name:
RACHEL MIZRAHI
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0402X - Neurology with Special Qualifications in Child Neurology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2017-06-22 2023-09-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170622000602 2017-06-22 CERTIFICATE OF INCORPORATION 2017-06-22

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State