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PHYSICIAN MOBILE MEDICAL CARE, P.C.

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Company Details

Name: PHYSICIAN MOBILE MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Jan 2025 (6 months ago)
Entity Number: 7507770
ZIP code: 14202
County: Erie
Place of Formation: New York
Address: 40 LA RIVIERE DR., SUITE 201, BUFFALO, NY, United States, 14202

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 40 LA RIVIERE DR., SUITE 201, BUFFALO, NY, United States, 14202

National Provider Identifier

NPI Number:
1518765502
Certification Date:
2025-03-05

Authorized Person:

Name:
MR. BRIAN EGAN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7168931002

Filings

Filing Number Date Filed Type Effective Date
250114001736 2025-01-13 CERTIFICATE OF INCORPORATION 2025-01-13

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State