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MAXWELL MIDTOWN MEDICAL, P.C.

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Company Details

Name: MAXWELL MIDTOWN MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jul 2012 (13 years ago)
Entity Number: 4267921
ZIP code: 10155
County: New York
Place of Formation: New York
Address: 150 EAST 58TH STREET, NEW YORK, NY, United States, 10155

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 150 EAST 58TH STREET, NEW YORK, NY, United States, 10155

National Provider Identifier

NPI Number:
1568880672

Authorized Person:

Name:
THANIA LOUISOR
Role:
INSURANCE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
120706000873 2012-07-06 CERTIFICATE OF INCORPORATION 2012-07-06

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State