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EASTERN MEDICAL CONSULTING P.C.

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Company Details

Name: EASTERN MEDICAL CONSULTING P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Oct 2018 (7 years ago)
Entity Number: 5429859
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 25 WILLET AVENUE, HICKSVILLE, NY, United States, 11801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
GLENN JACKSON DOS Process Agent 25 WILLET AVENUE, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1235608035

Authorized Person:

Name:
GLENN JAKOBSEN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5169353140
Fax:
2123337346

Filings

Filing Number Date Filed Type Effective Date
181022000512 2018-10-22 CERTIFICATE OF INCORPORATION 2018-10-22

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State