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EDISON MEDICAL, P.C.

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Company Details

Name: EDISON MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Dec 2003 (22 years ago)
Entity Number: 2986184
ZIP code: 07834
County: Nassau
Place of Formation: New York
Address: C/O MOHAMED BEDEWI, 11 LITTLE BEAR ROAD, DENVILLE, NJ, United States, 07834

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION PRASAD CHALASANI DOS Process Agent C/O MOHAMED BEDEWI, 11 LITTLE BEAR ROAD, DENVILLE, NJ, United States, 07834

National Provider Identifier

NPI Number:
1326311341

Authorized Person:

Name:
AZU AJUDUA
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7184996594

Filings

Filing Number Date Filed Type Effective Date
031208000729 2003-12-08 CERTIFICATE OF INCORPORATION 2003-12-08

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State