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HIGH HORIZON MEDICAL, P.C.

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Company Details

Name: HIGH HORIZON MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Apr 2023 (2 years ago)
Entity Number: 6797600
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 1363 veterans memorial highway, suite 33, HAUPPAUGE, NY, United States, 11788

Contact Details

Phone +1 516-238-7800

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 1363 veterans memorial highway, suite 33, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1174212633
Certification Date:
2024-03-16

Authorized Person:

Name:
ALI TABARROKI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
6318176101

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State