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BRAIN INJURY MEDICINE ASSOCIATES, PLLC

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Company Details

Name: BRAIN INJURY MEDICINE ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Sep 2019 (6 years ago)
Entity Number: 5619686
ZIP code: 11201
County: Kings
Place of Formation: New York
Address: 142 JORALEMON STREET, 2ND FLOOR, BROOKLYN, NY, United States, 11201

DOS Process Agent

Name Role Address
MERHDAD GOLZAD, MD DOS Process Agent 142 JORALEMON STREET, 2ND FLOOR, BROOKLYN, NY, United States, 11201

Agent

Name Role Address
MERHDAD GOLZAD, MD Agent 9 HILLCREST AVENUE, DOUGLASTON, NY, 11363

National Provider Identifier

NPI Number:
1174157887
Certification Date:
2020-03-03

Authorized Person:

Name:
MEHRDAD GOLZAD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0301X - Brain Injury Medicine (Psychiatry & Neurology) Physician
Is Primary:
Yes

Contacts:

Fax:
7182640257

Filings

Filing Number Date Filed Type Effective Date
200224000297 2020-02-24 CERTIFICATE OF PUBLICATION 2020-02-24
190912000168 2019-09-12 ARTICLES OF ORGANIZATION 2019-09-12

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State