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INTEGRATED MEDICAL HEALTH WELLNESS P.C.

Company Details

Name: INTEGRATED MEDICAL HEALTH WELLNESS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Dec 2023 (a year ago)
Entity Number: 7209426
ZIP code: 10538
County: Westchester
Place of Formation: New York
Address: 2005 palmer ave., #1050, LARCHMONT, NY, United States, 10538

Shares Details

Shares issued 100

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
c/o the corporation DOS Process Agent 2005 palmer ave., #1050, LARCHMONT, NY, United States, 10538

National Provider Identifier

NPI Number:
1467216366
Certification Date:
2024-02-10

Authorized Person:

Name:
SHAWN K SAMUEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No

Contacts:

Fax:
8883000458

Filings

Filing Number Date Filed Type Effective Date
231220000421 2023-12-19 CERTIFICATE OF INCORPORATION 2023-12-19

Date of last update: 20 Mar 2025

Sources: New York Secretary of State