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FAMILY FIRST NURSE PRACTITIONER IN FAMILY HEALTH, P.C.

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Company Details

Name: FAMILY FIRST NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Jul 2017 (8 years ago)
Entity Number: 5177371
ZIP code: 07644
County: Bronx
Place of Formation: New York
Address: 252 CORABELLE AVENUE, LODI, NJ, United States, 07644

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 252 CORABELLE AVENUE, LODI, NJ, United States, 07644

Unique Entity ID

Unique Entity ID:
PEVDTV4CAX23
CAGE Code:
8P8U1
UEI Expiration Date:
2023-03-01

Business Information

Activation Date:
2022-02-01
Initial Registration Date:
2020-08-03

National Provider Identifier

NPI Number:
1598133399

Authorized Person:

Name:
OMOLARA OLANIYI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9737791696

Filings

Filing Number Date Filed Type Effective Date
170727000557 2017-07-27 CERTIFICATE OF INCORPORATION 2017-07-27

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State