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JEFFREY WHEELER, D.O., P.C.

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Company Details

Name: JEFFREY WHEELER, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Feb 2013 (12 years ago)
Entity Number: 4365490
ZIP code: 11701
County: Suffolk
Place of Formation: New York
Address: 65 BENNETT PLACE, AMITYVILLE, NY, United States, 11701

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JEFFREY WHEELER DOS Process Agent 65 BENNETT PLACE, AMITYVILLE, NY, United States, 11701

National Provider Identifier

NPI Number:
1497260442

Authorized Person:

Name:
LAURA ROY
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6318495824

Filings

Filing Number Date Filed Type Effective Date
130226000365 2013-02-26 CERTIFICATE OF INCORPORATION 2013-02-26

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State