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OBM MEDICAL MANAGEMENT INC.

Company Details

Name: OBM MEDICAL MANAGEMENT INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 19 Jan 2016 (9 years ago)
Entity Number: 4881256
ZIP code: 10309
County: Richmond
Place of Formation: New York
Address: 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, United States, 10309

Shares Details

Shares issued 1000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
CHANA MIRSKY DOS Process Agent 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, United States, 10309

Agent

Name Role Address
CHANA MIRSKY Agent 4864 ARTHUR KILL ROAD, STATEN ISLAND, NY, 10309

National Provider Identifier

NPI Number:
1801246582
Certification Date:
2021-06-14

Authorized Person:

Name:
CHANA MIRSKY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LX0001X - Obstetrics & Gynecology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Fax:
7183564130
Fax:
7188285029

Filings

Filing Number Date Filed Type Effective Date
160119010355 2016-01-19 CERTIFICATE OF INCORPORATION 2016-01-19

Date of last update: 25 Mar 2025

Sources: New York Secretary of State