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BROOKLYN FAMILY MEDICINE PRACTICE P.C.

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Company Details

Name: BROOKLYN FAMILY MEDICINE PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Oct 2024 (9 months ago)
Entity Number: 7455041
ZIP code: 11217
County: Kings
Place of Formation: New York
Address: 150 4th avenue,, #4e, BROOKLYN, NY, United States, 11217

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 150 4th avenue,, #4e, BROOKLYN, NY, United States, 11217

National Provider Identifier

NPI Number:
1730972654
Certification Date:
2025-05-23

Authorized Person:

Name:
MR. NIKHIL JHUNJHNUWALA
Role:
OPERATIONS ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241101036267 2024-10-31 CERTIFICATE OF INCORPORATION 2024-10-31

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State