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NY FAMILY PHYSICIAN P.C.

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Company Details

Name: NY FAMILY PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 May 2020 (5 years ago)
Entity Number: 5746594
ZIP code: 11230
County: Kings
Place of Formation: New York
Address: 720 RUGBY ROAD, BROOKLYN, NY, United States, 11230

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 720 RUGBY ROAD, BROOKLYN, NY, United States, 11230

National Provider Identifier

NPI Number:
1538730338
Certification Date:
2021-07-02

Authorized Person:

Name:
DR. NASIMULLAH KHAN
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200505000555 2020-05-05 CERTIFICATE OF INCORPORATION 2020-05-05

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State