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DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.

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Company Details

Name: DAYS NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Apr 2014 (11 years ago)
Entity Number: 4556157
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 142-10 ROOSEVELT AVE STE P10, FLUSHING, NY, United States, 11354

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 142-10 ROOSEVELT AVE STE P10, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1114668969
Certification Date:
2022-06-17

Authorized Person:

Name:
SHENGJIE MO
Role:
FAMILY PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
9293622083

History

Start date End date Type Value
2014-04-03 2016-11-09 Address 2540 WEST 3RD STREET, BROOKLYN, NY, 11223, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
161109000574 2016-11-09 CERTIFICATE OF CHANGE 2016-11-09
140403000666 2014-04-03 CERTIFICATE OF INCORPORATION 2014-04-03

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State