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SMK MEDICAL P.C.

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Company Details

Name: SMK MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Apr 2023 (2 years ago)
Entity Number: 6804531
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 1 somerset street, HUNTINGTON STATION, NY, United States, 11746

Contact Details

Phone +1 631-358-1585

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the p.c. DOS Process Agent 1 somerset street, HUNTINGTON STATION, NY, United States, 11746

National Provider Identifier

NPI Number:
1588344626
Certification Date:
2023-07-24

Authorized Person:

Name:
DR. SAYED MUSTAFA KHWAJA
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6313581576

Filings

Filing Number Date Filed Type Effective Date
230421001371 2023-04-20 CERTIFICATE OF INCORPORATION 2023-04-20

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State