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YAFFA BORUKHOVA DDS P.C.

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Company Details

Name: YAFFA BORUKHOVA DDS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Aug 2019 (6 years ago)
Entity Number: 5612086
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 102-12 65TH AVE, APT D43, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 102-12 65TH AVE, APT D43, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1932990496
Certification Date:
2025-05-14

Authorized Person:

Name:
DR. YAFFA BORUKHOVA
Role:
PEDIATRIC DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223P0221X - Pediatric Dentist
Is Primary:
Yes

Contacts:

Fax:
5163969820

Filings

Filing Number Date Filed Type Effective Date
190828000524 2019-08-28 CERTIFICATE OF INCORPORATION 2019-08-28

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State