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EMPIRE STATE MEDICAL WELLNESS P.C.

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Company Details

Name: EMPIRE STATE MEDICAL WELLNESS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Sep 2023 (2 years ago)
Entity Number: 7091132
ZIP code: 11372
County: Queens
Place of Formation: New York
Address: 82-15 35th avenue, medical office, JACKSON HEIGHTS, NY, United States, 11372

Contact Details

Phone +1 929-424-3337

Phone +1 347-808-2615

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 82-15 35th avenue, medical office, JACKSON HEIGHTS, NY, United States, 11372

National Provider Identifier

NPI Number:
1518746478
Certification Date:
2023-09-28

Authorized Person:

Name:
DR. ERVIN R RIANO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
3478082716

Filings

Filing Number Date Filed Type Effective Date
230927003087 2023-09-27 CERTIFICATE OF INCORPORATION 2023-09-27

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State