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4016 ELMHURST MEDICAL P.C.

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Company Details

Name: 4016 ELMHURST MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jul 2021 (4 years ago)
Entity Number: 6213246
ZIP code: 11373
County: Queens
Place of Formation: New York
Address: 4016 74th street, ELMHURST, NY, United States, 11373

Contact Details

Phone +1 718-682-7090

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 4016 74th street, ELMHURST, NY, United States, 11373

National Provider Identifier

NPI Number:
1497326607
Certification Date:
2022-12-09

Authorized Person:

Name:
CHOUDHURY HASAN
Role:
MD
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210707000159 2021-07-06 CERTIFICATE OF INCORPORATION 2021-07-06

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State