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DR. JUDITH MAGLOCZKI, D.O., P.C.

Company Details

Name: DR. JUDITH MAGLOCZKI, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Mar 2022 (3 years ago)
Entity Number: 6440452
ZIP code: 11934
County: Suffolk
Place of Formation: New York
Address: 132 BERNSTEIN BOULEVARD, CENTER MORICHES, NY, United States, 11934

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE PROFESSIONAL CORPORATION DOS Process Agent 132 BERNSTEIN BOULEVARD, CENTER MORICHES, NY, United States, 11934

National Provider Identifier

NPI Number:
1649916404
Certification Date:
2022-05-05

Authorized Person:

Name:
DR. JUDITH M MAGLOCZKI
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
204D00000X - Neuromusculoskeletal Medicine & OMM Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8006271462

Filings

Filing Number Date Filed Type Effective Date
220325002652 2022-03-24 CERTIFICATE OF INCORPORATION 2022-03-24

Date of last update: 21 Mar 2025

Sources: New York Secretary of State