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EXODUSHEALTH MEDICAL, P.C.

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Company Details

Name: EXODUSHEALTH MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Aug 2002 (23 years ago)
Entity Number: 2805331
ZIP code: 10940
County: New York
Place of Formation: New York
Address: 14 KENNEDY TERRACE, MIDDLETOWN, NY, United States, 10940

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 14 KENNEDY TERRACE, MIDDLETOWN, NY, United States, 10940

Agent

Name Role Address
DR. OLANREWAJU SOMORIN Agent 14 KENNEDY TERRACE, MIDDLETOWN, NY, 10940

National Provider Identifier

NPI Number:
1083883458
Certification Date:
2024-04-19

Authorized Person:

Name:
OLANREWAJU SOMORIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
8452316078

Filings

Filing Number Date Filed Type Effective Date
020827000278 2002-08-27 CERTIFICATE OF INCORPORATION 2002-08-27

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State