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LIVING WELL MEDICAL, P.C.

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Company Details

Name: LIVING WELL MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jun 2008 (17 years ago)
Entity Number: 3688035
ZIP code: 10012
County: New York
Place of Formation: New York
Address: C/O ARNOLD BLANK, MD, 632 BROADWAY, SUITE 303, NEW YORK, NY, United States, 10012

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
LIVING WELL MEDICAL, P.C. Agent C/O ARNOLD BLANK, MD, 632 BROADWAY, SUITE 303, NEW YORK, NY, 10012

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O ARNOLD BLANK, MD, 632 BROADWAY, SUITE 303, NEW YORK, NY, United States, 10012

National Provider Identifier

NPI Number:
1013170257

Authorized Person:

Name:
DR. ARNOLD BLANK
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2127771653

Filings

Filing Number Date Filed Type Effective Date
080623000726 2008-06-23 CERTIFICATE OF INCORPORATION 2008-06-23

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State