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NEW BROADWAY MEDICAL PLLC

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Company Details

Name: NEW BROADWAY MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 May 2021 (4 years ago)
Entity Number: 6021373
ZIP code: 10004
County: Queens
Place of Formation: New York
Address: 11 BROADWAY SUITE 615, NEW YORK, NY, United States, 10004

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 11 BROADWAY SUITE 615, NEW YORK, NY, United States, 10004

National Provider Identifier

NPI Number:
1689346116
Certification Date:
2021-10-03

Authorized Person:

Name:
DR. HIMANSHU PANDYA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210525000403 2021-05-25 ARTICLES OF ORGANIZATION 2021-05-25

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State