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154 MEDICAL, P.C.

Company Details

Name: 154 MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jul 2010 (15 years ago)
Entity Number: 3969118
ZIP code: 11702
County: Suffolk
Place of Formation: New York
Address: 98 PARK AVENUE, BABYLON, NY, United States, 11702

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 98 PARK AVENUE, BABYLON, NY, United States, 11702

National Provider Identifier

NPI Number:
1659683605

Authorized Person:

Name:
DR. JODY GREENFIELD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
100702000264 2010-07-02 CERTIFICATE OF INCORPORATION 2010-07-02

Date of last update: 27 Mar 2025

Sources: New York Secretary of State