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LAJUAN BETHUNE BOOKER NP IN FAMILY HEALTH P.C.

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Company Details

Name: LAJUAN BETHUNE BOOKER NP IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jun 2019 (6 years ago)
Entity Number: 5568689
ZIP code: 12550
County: Orange
Place of Formation: New York
Address: 24 KNIGHTS CIR, NEWBURGH, NY, United States, 12550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LAJUAN BETHUNE BOOKER NP IN FAIMLY HEALTH P.C. DOS Process Agent 24 KNIGHTS CIR, NEWBURGH, NY, United States, 12550

National Provider Identifier

NPI Number:
1043863715

Authorized Person:

Name:
LAJUAN BETHUNE BOOKER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190611000608 2019-06-11 CERTIFICATE OF INCORPORATION 2019-06-11

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State