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NY PROACTIVE MEDICINE, P.C.

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Company Details

Name: NY PROACTIVE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 May 2025 (4 months ago)
Entity Number: 7606550
County: New York
Place of Formation: New York

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role
COGENCY GLOBAL INC. DOS Process Agent

National Provider Identifier

NPI Number:
1235920372
Certification Date:
2025-05-13

Authorized Person:

Name:
BENJAMIN STEIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
163WG0000X - General Practice Registered Nurse
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250508001414 2025-05-07 CERTIFICATE OF INCORPORATION 2025-05-07

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Date of last update: 10 May 2025

Sources: New York Secretary of State