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MJ NP IN FAMILY HEALTH CARE P.C.

Company Details

Name: MJ NP IN FAMILY HEALTH CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Jan 2020 (5 years ago)
Entity Number: 5690271
ZIP code: 11950
County: Suffolk
Place of Formation: New York
Address: 163 POOSPATUCK LANE, MASTIC, NY, United States, 11950

Contact Details

Phone +1 917-423-7220

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 163 POOSPATUCK LANE, MASTIC, NY, United States, 11950

National Provider Identifier

NPI Number:
1578182275
Certification Date:
2020-04-13

Authorized Person:

Name:
MICHELLE ANN JACKSON
Role:
FNP
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200116000190 2020-01-16 CERTIFICATE OF INCORPORATION 2020-01-16

Date of last update: 23 Mar 2025

Sources: New York Secretary of State