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MERRICK FAMILY PRACTICE MANAGEMENT INC.

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Company Details

Name: MERRICK FAMILY PRACTICE MANAGEMENT INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 02 Mar 2018 (7 years ago)
Entity Number: 5296400
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 100 QUENTIN ROOSEVELT BLVD.,, SUITE 102, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O LAW OFFICE OF LEWIS A. BARTELL ATTN. LEWIS A. BARTEL, ESQ DOS Process Agent 100 QUENTIN ROOSEVELT BLVD.,, SUITE 102, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1245729110

Authorized Person:

Name:
ERIC YOUSHA
Role:
MD; OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5168042784

Filings

Filing Number Date Filed Type Effective Date
180302000126 2018-03-02 CERTIFICATE OF INCORPORATION 2018-03-02

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State