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MEDWELL MEDICAL P.C.

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Company Details

Name: MEDWELL MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Feb 2015 (10 years ago)
Entity Number: 4717355
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 1065A NORTH BROADWAY, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1065A NORTH BROADWAY, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1245625797

Authorized Person:

Name:
DR. MARK SCHWARTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150227000209 2015-02-27 CERTIFICATE OF INCORPORATION 2015-02-27

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State