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DEEPA MALIECKAL MD P.C.

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Company Details

Name: DEEPA MALIECKAL MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jul 2017 (8 years ago)
Entity Number: 5174855
ZIP code: 11747
County: Kings
Place of Formation: New York
Address: 555 BROADHOLLOW RD., STE. 404, MELVILLE, NY, United States, 11747

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O MINO LLANO HIGGINS GROUP DOS Process Agent 555 BROADHOLLOW RD., STE. 404, MELVILLE, NY, United States, 11747

National Provider Identifier

NPI Number:
1235655481

Authorized Person:

Name:
DEEPA MALIECKAL
Role:
MEDICAL DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7187897101

Filings

Filing Number Date Filed Type Effective Date
170724000692 2017-07-24 CERTIFICATE OF INCORPORATION 2017-07-24

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State