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POUGHKEEPSIE FAMILY HEALTH CARE NP, PLLC

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Company Details

Name: POUGHKEEPSIE FAMILY HEALTH CARE NP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Jan 2020 (5 years ago)
Entity Number: 5698762
ZIP code: 12603
County: Dutchess
Place of Formation: New York
Address: 107 FORBUS STREET, POUGHKEEPSIE, NY, United States, 12603

Contact Details

Phone +1 845-452-4671

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 107 FORBUS STREET, POUGHKEEPSIE, NY, United States, 12603

National Provider Identifier

NPI Number:
1891517330
Certification Date:
2024-10-27

Authorized Person:

Name:
TANESHA KEMBLE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8778015104

Filings

Filing Number Date Filed Type Effective Date
200130000123 2020-01-30 ARTICLES OF ORGANIZATION 2020-01-30

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State