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JSM WELLNESS NP IN ACUTE CARE P.C.

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Company Details

Name: JSM WELLNESS NP IN ACUTE CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jan 2025 (5 months ago)
Entity Number: 7524387
ZIP code: 11365
County: Queens
Place of Formation: New York
Address: 19615a 65th crescent, suite 1a, FRESH MEADOWS, NY, United States, 11365

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JSM WELLNESS NP IN ACUTE CARE P.C. DOS Process Agent 19615a 65th crescent, suite 1a, FRESH MEADOWS, NY, United States, 11365

National Provider Identifier

NPI Number:
1255137592
Certification Date:
2025-02-19

Authorized Person:

Name:
JI SOO MOON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250203003789 2025-01-31 CERTIFICATE OF INCORPORATION 2025-01-31

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State