| Name: | TWIN FORKS OBGYN, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 13 Jan 1998 (27 years ago) |
| Entity Number: | 2217108 |
| ZIP code: | 11901 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 1380 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| C/O MOHAMMED S. NIZAM, M.D. | DOS Process Agent | 1380 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901 |
| Name | Role | Address |
|---|---|---|
| MOHAMMED S. NIZAM, M.D. | Chief Executive Officer | 1380 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 040310002015 | 2004-03-10 | BIENNIAL STATEMENT | 2004-01-01 |
| 000208002630 | 2000-02-08 | BIENNIAL STATEMENT | 2000-01-01 |
| 980113000203 | 1998-01-13 | CERTIFICATE OF INCORPORATION | 1998-01-13 |
Date of last update: 12 Nov 2024
Sources: New York Secretary of State
