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TERI MARTIN, FAMILY NURSE PRACTITIONER, P.C.

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Company Details

Name: TERI MARTIN, FAMILY NURSE PRACTITIONER, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Aug 1999 (26 years ago)
Entity Number: 2413962
ZIP code: 12496
County: Greene
Place of Formation: New York
Address: P.O. BOX 794, WINDHAM, NY, United States, 12496
Principal Address: 10 N RIDGE EXT, PO BOX 794, WINDHAM, NY, United States, 12496

Shares Details

Shares issued 1

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TERI MARTIN, FAMILY NURSE PRACTITIONER, P.C. DOS Process Agent P.O. BOX 794, WINDHAM, NY, United States, 12496

Chief Executive Officer

Name Role Address
TERI MARTIN Chief Executive Officer 10 N RIDGE EXT, WINDHAM, NY, United States, 12496

National Provider Identifier

NPI Number:
1245647189

Authorized Person:

Name:
TERI ANN MARTIN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2011-08-17 2013-08-08 Address 10 N RIDGE EXT, PO BOX 794, WINDHAM, NY, 10496, USA (Type of address: Principal Executive Office)
2009-09-25 2011-08-17 Address 10 N RIDGE EXT, PO BOX 208, WINDHAM, NY, 10496, USA (Type of address: Principal Executive Office)
2009-09-25 2013-08-08 Address P.O. BOX 794, WINDHAM, NY, 10496, USA (Type of address: Service of Process)
2003-08-12 2009-09-25 Address P.O. BOX 208, HENSONVILLE, NY, 12439, 0208, USA (Type of address: Service of Process)
2001-08-14 2009-09-25 Address 10 N RIDGE EXT, PO BOX 208, HENSONVILLE, NY, 12439, 0208, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
130808006706 2013-08-08 BIENNIAL STATEMENT 2013-08-01
110817002030 2011-08-17 BIENNIAL STATEMENT 2011-08-01
090925002154 2009-09-25 BIENNIAL STATEMENT 2009-08-01
070817002965 2007-08-17 BIENNIAL STATEMENT 2007-08-01
051025002730 2005-10-25 BIENNIAL STATEMENT 2005-08-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State