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HEALTH BRIDGE CONCIERGE MEDICINE, P.C.

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Company Details

Name: HEALTH BRIDGE CONCIERGE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Aug 2024 (a year ago)
Entity Number: 7403326
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 1000 northern blvd,, suite 230, GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 1000 northern blvd,, suite 230, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1982439337
Certification Date:
2024-09-05

Authorized Person:

Name:
DAVID EDELSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5166274433

Filings

Filing Number Date Filed Type Effective Date
240822002221 2024-08-21 CERTIFICATE OF INCORPORATION 2024-08-21

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State