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TRI-BOROUGH NY MEDICAL PRACTICE P.C.

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Company Details

Name: TRI-BOROUGH NY MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Aug 2020 (5 years ago)
Entity Number: 5812893
ZIP code: 07012
County: Bronx
Place of Formation: New York
Address: 790 BLOOMFIELD AVE, SUITE 1A, CLIFTON, NJ, United States, 07012

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 790 BLOOMFIELD AVE, SUITE 1A, CLIFTON, NJ, United States, 07012

National Provider Identifier

NPI Number:
1720661044
Certification Date:
2021-05-04

Authorized Person:

Name:
MISS NEESHA N MOHAMMED
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No

Contacts:

Fax:
7187669763

History

Start date End date Type Value
2025-07-02 2025-07-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-28 2025-07-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-28 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-19 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-16 2025-06-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
200814000407 2020-08-14 CERTIFICATE OF INCORPORATION 2020-08-14

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State