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SELDEN PRIMARY MEDICINE, P.C.

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Company Details

Name: SELDEN PRIMARY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Aug 2002 (23 years ago)
Entity Number: 2796871
ZIP code: 11720
County: Suffolk
Place of Formation: New York
Address: 6 SUNFLOWER RIDGE ROAD, CENTEREACH, NY, United States, 11720

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6 SUNFLOWER RIDGE ROAD, CENTEREACH, NY, United States, 11720

National Provider Identifier

NPI Number:
1922287218

Authorized Person:

Name:
DR. PATRICIA ELAINE WEBLEY-BETHUNE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6317367307

Filings

Filing Number Date Filed Type Effective Date
020802000596 2002-08-02 CERTIFICATE OF INCORPORATION 2002-08-02

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State