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MAXWELL 21 MEDICAL, P.C.

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Company Details

Name: MAXWELL 21 MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 May 2015 (10 years ago)
Entity Number: 4758140
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 16 E. 40TH STREET, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 16 E. 40TH STREET, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1205216322

Authorized Person:

Name:
MISS THANIA LOUISOR
Role:
INSURANCE
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150513000520 2015-05-13 CERTIFICATE OF INCORPORATION 2015-05-13

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
2616548 CLATE INVOICED 2017-05-25 100 Late Fee
2583635 SL VIO INVOICED 2017-03-31 1000 SL - Sick Leave Violation

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State