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E-Z MEDHEALTH CARE, P.C.

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Company Details

Name: E-Z MEDHEALTH CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Aug 2004 (21 years ago)
Entity Number: 3091046
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 101-20 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
ILYA SMUGLIN MD Agent 99-24 64 AVENUE, REGO PARK, NY, 11374

DOS Process Agent

Name Role Address
ILYA SMUGLIN MD DOS Process Agent 101-20 QUEENS BLVD, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1245347301

Authorized Person:

Name:
VADIM DAVYDOV
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7187309439

Filings

Filing Number Date Filed Type Effective Date
040816000790 2004-08-16 CERTIFICATE OF INCORPORATION 2004-08-16

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State