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M. FREEMAN MEDICAL PRACTICE P.C.

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Company Details

Name: M. FREEMAN MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Mar 2016 (9 years ago)
Entity Number: 4917827
ZIP code: 10031
County: New York
Place of Formation: New York
Address: 407 WEST 147 ST., NEW YORK, NY, United States, 10031

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 407 WEST 147 ST., NEW YORK, NY, United States, 10031

National Provider Identifier

NPI Number:
1073067393

Authorized Person:

Name:
MELISSA M FREEMAN
Role:
AUTHORIZE OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2128624923

Filings

Filing Number Date Filed Type Effective Date
160323000485 2016-03-23 CERTIFICATE OF INCORPORATION 2016-03-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State