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WILLOW PARK MEDICAL HEALTH P.C.

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Company Details

Name: WILLOW PARK MEDICAL HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Feb 2025 (6 months ago)
Entity Number: 7534046
ZIP code: 11545
County: Nassau
Place of Formation: New York
Address: 4 farmwood lane, GLEN HEAD, NY, United States, 11545

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 4 farmwood lane, GLEN HEAD, NY, United States, 11545

National Provider Identifier

NPI Number:
1063219475
Certification Date:
2025-02-25

Authorized Person:

Name:
AZMAT IQBAL
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250213002742 2025-02-12 CERTIFICATE OF INCORPORATION 2025-02-12

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State