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SYOSSET FAMILY MEDICINE P.C.

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Company Details

Name: SYOSSET FAMILY MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 May 2023 (2 years ago)
Entity Number: 6825630
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 6500 jericho turnpike, suite le, 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 6500 jericho turnpike, suite le, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1700578754
Certification Date:
2023-05-25

Authorized Person:

Name:
SHEN-HAN LIN
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
8455932237

History

Start date End date Type Value
2023-05-31 2023-06-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-05 2023-05-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230505001550 2023-05-05 CERTIFICATE OF INCORPORATION 2023-05-05

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State