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FARZANA MATIN, M.D., P.C.

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Company Details

Name: FARZANA MATIN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Oct 2017 (8 years ago)
Entity Number: 5226336
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 15 HILTON AVENUE, GARDEN CITY, NY, United States, 11530

Contact Details

Phone +1 516-466-3001

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
FARZANA MATIN DOS Process Agent 15 HILTON AVENUE, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1699280453
Certification Date:
2023-09-30

Authorized Person:

Name:
FARZANA MATIN
Role:
DIRECTOR/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
823546847
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
1
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
171030000783 2017-10-30 CERTIFICATE OF INCORPORATION 2017-10-30

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State