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FARAH FATIMA MD P.C.

Company Details

Name: FARAH FATIMA MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Dec 2022 (2 years ago)
Entity Number: 6669705
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 61 willets dr, SYOSSET, NY, United States, 11791

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 61 willets dr, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1801509708
Certification Date:
2023-01-05

Authorized Person:

Name:
DR. FARAH FATIMA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7182693268

Filings

Filing Number Date Filed Type Effective Date
221216000981 2022-12-14 CERTIFICATE OF INCORPORATION 2022-12-14

Date of last update: 20 Mar 2025

Sources: New York Secretary of State