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RONI RAFAILOV NP FAMILY HEALTH P.C.

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Company Details

Name: RONI RAFAILOV NP FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Jan 2022 (4 years ago)
Entity Number: 6366815
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 9841 64th road, apt 7c, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
roni rafailov DOS Process Agent 9841 64th road, apt 7c, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1528894268
Certification Date:
2024-09-10

Authorized Person:

Name:
RONI RAFAILOV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
364SF0001X - Family Health Clinical Nurse Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220105000896 2022-01-04 CERTIFICATE OF INCORPORATION 2022-01-04

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State