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RAPHA FAMILY MEDICAL WELLNESS, P.C.

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Company Details

Name: RAPHA FAMILY MEDICAL WELLNESS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 May 2014 (11 years ago)
Entity Number: 4581902
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 3610 Main Street, Amherst, NY, United States, 14226

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3610 Main Street, Amherst, NY, United States, 14226

Chief Executive Officer

Name Role Address
FRANCES ILOZUE Chief Executive Officer 3610 MAIN STREET, AMHERST, NY, United States, 14226

National Provider Identifier

NPI Number:
1619472719
Certification Date:
2024-06-17

Authorized Person:

Name:
DR. FRANCES E ILOZUE
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7167838825

History

Start date End date Type Value
2014-05-23 2024-09-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
220609001588 2022-06-09 BIENNIAL STATEMENT 2022-05-01
140523000223 2014-05-23 CERTIFICATE OF INCORPORATION 2014-05-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State