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ALL WELL MEDICAL ASSOCIATES, PLLC

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Company Details

Name: ALL WELL MEDICAL ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jan 2021 (4 years ago)
Entity Number: 5929584
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 23 COOPER STREET, SOUTHAMPTON, NY, United States, 11968

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 23 COOPER STREET, SOUTHAMPTON, NY, United States, 11968

National Provider Identifier

NPI Number:
1861077547
Certification Date:
2021-08-10

Authorized Person:

Name:
DR. MICHAEL ERIC ROSEN
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
862016477
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
210129000023 2021-01-29 ARTICLES OF ORGANIZATION 2021-01-29

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State