Search icon

ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: ITAV-NURSE PRACTITIONER FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jun 2018 (7 years ago)
Entity Number: 5359344
ZIP code: 11726
County: Suffolk
Place of Formation: New York
Address: 9 RUSSELL COURT, COPIAGUE, NY, United States, 11726

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 9 RUSSELL COURT, COPIAGUE, NY, United States, 11726

National Provider Identifier

NPI Number:
1588205025
Certification Date:
2021-02-18

Authorized Person:

Name:
TIA KNIGHT-FORBES
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200709061193 2020-07-09 BIENNIAL STATEMENT 2020-06-01
190213000665 2019-02-13 CERTIFICATE OF PUBLICATION 2019-02-13
180614000369 2018-06-14 ARTICLES OF ORGANIZATION 2018-06-14

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 Mar 2025

Sources: New York Secretary of State