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LAWRENCE M. WELLS, M.D., P.C.

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Company Details

Name: LAWRENCE M. WELLS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Oct 1982 (43 years ago)
Entity Number: 796971
ZIP code: 10017
County: Nassau
Place of Formation: New York
Address: LEFFLER & SAMULE, P.C., 360 LEXINGTON AVE., NEW YORK, NY, United States, 10017

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
%STANLEY S. LEFFLER, P.C. DOS Process Agent LEFFLER & SAMULE, P.C., 360 LEXINGTON AVE., NEW YORK, NY, United States, 10017

National Provider Identifier

NPI Number:
1457516205

Authorized Person:

Name:
DR. LAWRENCE M. WELLS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7184642641

Form 5500 Series

Employer Identification Number (EIN):
112626078
Plan Year:
2010
Number Of Participants:
3
Sponsors Telephone Number:

History

Start date End date Type Value
1982-10-06 1984-08-01 Address 170 E. 79TH ST., NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
B128446-4 1984-08-01 CERTIFICATE OF AMENDMENT 1984-08-01
A908891-4 1982-10-06 CERTIFICATE OF INCORPORATION 1982-10-06

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State