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BLUE LOTUS MEDICAL WELLNESS, P.C.

Company Details

Name: BLUE LOTUS MEDICAL WELLNESS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Aug 2023 (2 years ago)
Entity Number: 7218790
ZIP code: 11735
County: Nassau
Place of Formation: New York
Address: 245 conklin st, FARMINGDALE, NY, United States, 11735

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 245 conklin st, FARMINGDALE, NY, United States, 11735

National Provider Identifier

NPI Number:
1316702988
Certification Date:
2024-02-13

Authorized Person:

Name:
DR. SANJAY SHETTY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240103002024 2023-08-02 CERTIFICATE OF INCORPORATION 2023-08-02

Date of last update: 20 Mar 2025

Sources: New York Secretary of State