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VIRTUAL MEDICINE WELLNESS, P.C.

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Company Details

Name: VIRTUAL MEDICINE WELLNESS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 May 2020 (5 years ago)
Entity Number: 5745007
ZIP code: 11733
County: Suffolk
Place of Formation: New York
Address: 60 BUCCANEER LANE, SETAUKET, NY, United States, 11733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 60 BUCCANEER LANE, SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:
1396367884
Certification Date:
2020-05-07

Authorized Person:

Name:
DR. JAMES R. POWELL
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6316500497

Filings

Filing Number Date Filed Type Effective Date
200501000249 2020-05-01 CERTIFICATE OF INCORPORATION 2020-05-01

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State