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THREE VILLAGE MEDICINE, P.C.

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Company Details

Name: THREE VILLAGE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Mar 2018 (7 years ago)
Entity Number: 5298520
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 24 JEFFERSON LANDING CIR, PORT JEFFERSON, NY, United States, 11777

Contact Details

Phone +1 631-616-9894

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 24 JEFFERSON LANDING CIR, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1982108353

Authorized Person:

Name:
DR. SYED SHABAHAT HUSSAIN
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180306000620 2018-03-06 CERTIFICATE OF INCORPORATION 2018-03-06

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State