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SHINING LIGHT FAMILY HEALTH NP P.C.

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Company Details

Name: SHINING LIGHT FAMILY HEALTH NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jun 2018 (7 years ago)
Entity Number: 5367466
ZIP code: 10034
County: Nassau
Place of Formation: New York
Address: 5030 BROADWAY STE 818, NEW YORK, NY, United States, 10034

Contact Details

Phone +1 718-410-3400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LIDIA VIRGIL DOS Process Agent 5030 BROADWAY STE 818, NEW YORK, NY, United States, 10034

National Provider Identifier

NPI Number:
1497240683

Authorized Person:

Name:
LIDIA VIRGIL
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180628000475 2018-06-28 CERTIFICATE OF INCORPORATION 2018-06-28

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State