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HOME PHYSICIAN ASSISTANT SERVICES P.C.

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Company Details

Name: HOME PHYSICIAN ASSISTANT SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Aug 2019 (6 years ago)
Entity Number: 5605486
ZIP code: 10004
County: New York
Place of Formation: New York
Address: 42 BROADWAY, SUITE 12266, NEW YORK, NY, United States, 10004

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 42 BROADWAY, SUITE 12266, NEW YORK, NY, United States, 10004

National Provider Identifier

NPI Number:
1639782972
Certification Date:
2020-08-26

Authorized Person:

Name:
KHALED ELBANNA
Role:
MD
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2025-07-22 2025-07-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-11 2025-07-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-03 2025-06-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-09 2025-06-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-30 2025-05-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
190816000164 2019-08-16 CERTIFICATE OF INCORPORATION 2019-08-16

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State