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O.B. ADULT HEALTH NURSE PRACTITIONER SERVICES P.C .

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Company Details

Name: O.B. ADULT HEALTH NURSE PRACTITIONER SERVICES P.C .
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Jul 2017 (8 years ago)
Entity Number: 5169290
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 224 OSGOOD AVENUE, STATEN ISLAND, NY, United States, 10304

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 224 OSGOOD AVENUE, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1164933487

Authorized Person:

Name:
OLASUNKANMI BHADMUS
Role:
ASSISTANT DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
364SG0600X - Gerontology Clinical Nurse Specialist
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7184487263

Filings

Filing Number Date Filed Type Effective Date
170713000274 2017-07-13 CERTIFICATE OF INCORPORATION 2017-07-13

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State