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MICHAEL OTUGH NP IN ADULT HEALTH, P.C.

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Company Details

Name: MICHAEL OTUGH NP IN ADULT HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Jan 2020 (6 years ago)
Entity Number: 5685861
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 9 SAGAMORE LANE, DIX HILLS, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MICHAEL OTUGH DOS Process Agent 9 SAGAMORE LANE, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1093348492
Certification Date:
2020-02-13

Authorized Person:

Name:
MICHAEL OTUGH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
844545633
Plan Year:
2024
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200109000546 2020-01-09 CERTIFICATE OF INCORPORATION 2020-01-09

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State