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NADJA LOUIS-JACQUES NP IN FAMILY HEALTH P.C.

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Company Details

Name: NADJA LOUIS-JACQUES NP IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Feb 2016 (9 years ago)
Entity Number: 4894056
ZIP code: 11791
County: Suffolk
Place of Formation: New York
Address: 319 SOUTHWOOD CIRCLE, SYOSSET, NY, United States, 11791

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NADJA LOUIS-JACQUES DOS Process Agent 319 SOUTHWOOD CIRCLE, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1588102727
Certification Date:
2020-09-24

Authorized Person:

Name:
NADJA LOUIS-JACQUES
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7187760933
Fax:
7187780933

History

Start date End date Type Value
2025-05-09 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-26 2025-05-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-21 2025-03-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-08 2025-01-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-19 2024-11-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
160210000491 2016-02-10 CERTIFICATE OF INCORPORATION 2016-02-10

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State