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EMPIRE STATE INTERNAL MEDICINE, P.C.

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Company Details

Name: EMPIRE STATE INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jul 2019 (6 years ago)
Entity Number: 5593230
ZIP code: 10956
County: Rockland
Place of Formation: New York
Address: 5 ALCOTT COURT, NEW CITY, NY, United States, 10956

Contact Details

Phone +1 914-467-8183

Phone +1 845-360-1400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ARAVINDA L. BOMMAREDDY DOS Process Agent 5 ALCOTT COURT, NEW CITY, NY, United States, 10956

National Provider Identifier

NPI Number:
1659929495
Certification Date:
2024-07-23

Authorized Person:

Name:
DR. ARAVINDA LAKSHMI BOMMAREDDY
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190725000308 2019-07-25 CERTIFICATE OF INCORPORATION 2019-07-25

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State