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BROOME FAMILY NURSE PRACTITIONERS, P.C.

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Company Details

Name: BROOME FAMILY NURSE PRACTITIONERS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 May 2019 (6 years ago)
Entity Number: 5548892
ZIP code: 13850
County: Broome
Place of Formation: New York
Address: 316 CHESTNUT LANE, VESTAL, NY, United States, 13850

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 316 CHESTNUT LANE, VESTAL, NY, United States, 13850

National Provider Identifier

NPI Number:
1346801206

Authorized Person:

Name:
NIKKI LEA HUGHES
Role:
ASSISTANT OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
6078217848

Form 5500 Series

Employer Identification Number (EIN):
834711181
Plan Year:
2024
Number Of Participants:
16
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
190508000604 2019-05-08 CERTIFICATE OF INCORPORATION 2019-05-08

USAspending Awards / Financial Assistance

Date:
2019-06-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
75000.00
Total Face Value Of Loan:
0.00
Date:
2019-06-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State