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CROWN HEIGHTS MEDICAL DOCTOR P.C.

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Company Details

Name: CROWN HEIGHTS MEDICAL DOCTOR P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Dec 2019 (6 years ago)
Entity Number: 5672341
ZIP code: 11576
County: Kings
Place of Formation: New York
Address: 10 HARBOR CT. E, ROSLYN, NY, United States, 11576

Contact Details

Phone +1 718-756-1309

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 HARBOR CT. E, ROSLYN, NY, United States, 11576

National Provider Identifier

NPI Number:
1467040907
Certification Date:
2024-11-13

Authorized Person:

Name:
INDRA PARBOO
Role:
FRONT OFFIC
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7187561391

Filings

Filing Number Date Filed Type Effective Date
191216000682 2019-12-16 CERTIFICATE OF INCORPORATION 2019-12-16

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State