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JELLYBEAN E.I. INC.

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Company Details

Name: JELLYBEAN E.I. INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 14 Mar 2018 (7 years ago)
Entity Number: 5303404
ZIP code: 11753
County: New York
Place of Formation: New York
Address: 366 NORTH BROADWAY, SUITE PH5, JERICHO, NY, United States, 11753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 366 NORTH BROADWAY, SUITE PH5, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1871085696
Certification Date:
2024-11-01

Authorized Person:

Name:
HARRY AZCONA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180314000042 2018-03-14 CERTIFICATE OF INCORPORATION 2018-03-14

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State