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MARK MARKLAND, NP IN FAMILY HEALTH, P.C.

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Company Details

Name: MARK MARKLAND, NP IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 May 2018 (7 years ago)
Entity Number: 5333132
ZIP code: 11411
County: Broome
Place of Formation: New York
Address: 114-110 230TH STREET, CAMBRIA HEIGHTS, NY, United States, 11411

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O MARK MARKLAND, FNP DOS Process Agent 114-110 230TH STREET, CAMBRIA HEIGHTS, NY, United States, 11411

National Provider Identifier

NPI Number:
1245723766
Certification Date:
2025-04-02

Authorized Person:

Name:
MARK A MARKLAND
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8777947710
Fax:
9294984420

Filings

Filing Number Date Filed Type Effective Date
180501000630 2018-05-01 CERTIFICATE OF INCORPORATION 2018-05-01

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State