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MAGNOLIA RHEUMATOLOGY, P.C.

Company Details

Name: MAGNOLIA RHEUMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Dec 2020 (4 years ago)
Entity Number: 5897774
ZIP code: 10533
County: Westchester
Place of Formation: New York
Address: 3 W MAIN ST, SUITE 301, IRVINGTON, NY, United States, 10533

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 W MAIN ST, SUITE 301, IRVINGTON, NY, United States, 10533

National Provider Identifier

NPI Number:
1326636119
Certification Date:
2021-04-26

Authorized Person:

Name:
DR. RUCHI JAIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RR0500X - Rheumatology Physician
Is Primary:
Yes

Contacts:

Fax:
8339922090

Form 5500 Series

Employer Identification Number (EIN):
854316952
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
201215000773 2020-12-15 CERTIFICATE OF INCORPORATION 2020-12-15

Date of last update: 22 Mar 2025

Sources: New York Secretary of State