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MAXWELL BOEV MEDICAL GROUP, PLLC

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Company Details

Name: MAXWELL BOEV MEDICAL GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 23 Dec 2011 (14 years ago)
Date of dissolution: 31 Jan 2018
Entity Number: 4180557
ZIP code: 14621
County: Monroe
Place of Formation: New York
Address: PARNALL OFFICE BLDG, SUITE 304, 1445 PORTLAND AVE, ROCHESTER, NY, United States, 14621

DOS Process Agent

Name Role Address
ROCHESTER GENERAL HOSPITAL DOS Process Agent PARNALL OFFICE BLDG, SUITE 304, 1445 PORTLAND AVE, ROCHESTER, NY, United States, 14621

National Provider Identifier

NPI Number:
1598027435

Authorized Person:

Name:
TERESSA ROSENBERG
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5852677511

Form 5500 Series

Employer Identification Number (EIN):
611631960
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
180131000925 2018-01-31 CERTIFICATE OF DISSOLUTION 2018-01-31
120330000184 2012-03-30 CERTIFICATE OF PUBLICATION 2012-03-30
111223000610 2011-12-23 ARTICLES OF ORGANIZATION 2011-12-23

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State