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MARCHESE INTEGRATIVE MEDICAL PRACTICE, P.C.

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Company Details

Name: MARCHESE INTEGRATIVE MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Mar 2022 (3 years ago)
Entity Number: 6437827
ZIP code: 11378
County: Queens
Place of Formation: New York
Address: 73-03 grand ave., queens, NY, United States, 11378

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 73-03 grand ave., queens, NY, United States, 11378

National Provider Identifier

NPI Number:
1558002600
Certification Date:
2022-05-24

Authorized Person:

Name:
DR. ELLEN MARCHESE
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220323002089 2022-03-22 CERTIFICATE OF INCORPORATION 2022-03-22

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State