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MELISSA STOCKMAN ADULT CARE NP, P.C.

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Company Details

Name: MELISSA STOCKMAN ADULT CARE NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Apr 2015 (10 years ago)
Entity Number: 4743611
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: 41 GREENPORT AVENUE, MEDFORD, NY, United States, 11763

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O MELISSA STOCKMAN DOS Process Agent 41 GREENPORT AVENUE, MEDFORD, NY, United States, 11763

National Provider Identifier

NPI Number:
1104361021

Authorized Person:

Name:
MELISSA STOCKMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Filings

Filing Number Date Filed Type Effective Date
210106061973 2021-01-06 BIENNIAL STATEMENT 2019-04-01
150417000106 2015-04-17 CERTIFICATE OF INCORPORATION 2015-04-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State