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IE MEDICAL P.C.

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Company Details

Name: IE MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Oct 2022 (3 years ago)
Entity Number: 6619648
ZIP code: 07020
County: Kings
Place of Formation: New York
Address: 814 undercliff ave, EDGEWATER, NJ, United States, 07020

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 814 undercliff ave, EDGEWATER, NJ, United States, 07020

National Provider Identifier

NPI Number:
1902799950
Certification Date:
2025-05-30

Authorized Person:

Name:
ILANA ETELZON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221020000877 2022-10-19 CERTIFICATE OF INCORPORATION 2022-10-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State