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MILL BASIN MEDICAL HEALTH P.C.

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Company Details

Name: MILL BASIN MEDICAL HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Feb 2019 (7 years ago)
Entity Number: 5487735
ZIP code: 11234
County: Kings
Place of Formation: New York
Address: 1583 EAST 66 STREET 1ST FL, BROOKLYN, NY, United States, 11234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1583 EAST 66 STREET 1ST FL, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1346006202
Certification Date:
2024-02-27

Authorized Person:

Name:
MAYER SPILMAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
833440364
Plan Year:
2024
Number Of Participants:
44
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
190204000282 2019-02-04 CERTIFICATE OF INCORPORATION 2019-02-04

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State