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AZ FAMILY HEALTH NP P.C.

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Company Details

Name: AZ FAMILY HEALTH NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Oct 2022 (3 years ago)
Entity Number: 6620588
ZIP code: 11220
County: Kings
Place of Formation: New York
Address: 824 45th street, BROOKLYN, NY, United States, 11220

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
abram zavulunov DOS Process Agent 824 45th street, BROOKLYN, NY, United States, 11220

National Provider Identifier

NPI Number:
1821808635
Certification Date:
2025-01-13

Authorized Person:

Name:
ABRAM ZAVULUNOV
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221021000310 2022-10-20 CERTIFICATE OF INCORPORATION 2022-10-20

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State