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MBIP PODIATRY P.C.

Company Details

Name: MBIP PODIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jun 2022 (3 years ago)
Entity Number: 6503097
ZIP code: 10312
County: Richmond
Place of Formation: New York
Address: 1042 huguenot avenue, STATEN ISLAND, NY, United States, 10312

Contact Details

Phone +1 718-720-6866

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 1042 huguenot avenue, STATEN ISLAND, NY, United States, 10312

National Provider Identifier

NPI Number:
1992426969
Certification Date:
2022-09-08

Authorized Person:

Name:
DR. MINA BASKHRON
Role:
PODIATRIST - FOOT & ANKLE SURGERY
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No

Contacts:

Fax:
7183175212

Filings

Filing Number Date Filed Type Effective Date
220603000046 2022-06-02 CERTIFICATE OF INCORPORATION 2022-06-02

Date of last update: 21 Mar 2025

Sources: New York Secretary of State