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ALLWELL HEALTH MEDICAL P.C.

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Company Details

Name: ALLWELL HEALTH MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 2019 (6 years ago)
Entity Number: 5614059
ZIP code: 11360
County: Queens
Place of Formation: New York
Address: 1 BAY CLUB DRIVE #9S, BAYSIDE, NY, United States, 11360

Contact Details

Phone +1 718-878-6920

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1 BAY CLUB DRIVE #9S, BAYSIDE, NY, United States, 11360

National Provider Identifier

NPI Number:
1427822196
Certification Date:
2024-02-01

Authorized Person:

Name:
DR. SHUHUA SONG
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7188786920

Filings

Filing Number Date Filed Type Effective Date
190903000262 2019-09-03 CERTIFICATE OF INCORPORATION 2019-09-03

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State