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INTEGRATED WELLNESS, NP IN ADULT HEALTH, P.C.

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Company Details

Name: INTEGRATED WELLNESS, NP IN ADULT HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Oct 2024 (9 months ago)
Entity Number: 7455045
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 990 stewart avenue suite ll30, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the pc DOS Process Agent 990 stewart avenue suite ll30, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1043035025
Certification Date:
2024-11-15

Authorized Person:

Name:
JARRETT BUDA
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5162809599

Filings

Filing Number Date Filed Type Effective Date
241101036303 2024-10-31 CERTIFICATE OF INCORPORATION 2024-10-31

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State