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PATRICE POWELL ADULT HEALTH NP PLLC

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Company Details

Name: PATRICE POWELL ADULT HEALTH NP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Oct 2020 (5 years ago)
Entity Number: 5863215
ZIP code: 11428
County: Queens
Place of Formation: New York
Address: 215-03 Jamaica avenue, Suite 52, Queens Village, NY, United States, 11428

Contact Details

Phone +1 718-952-3707

Phone +1 888-855-2584

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 215-03 Jamaica avenue, Suite 52, Queens Village, NY, United States, 11428

National Provider Identifier

NPI Number:
1639892821
Certification Date:
2024-01-04

Authorized Person:

Name:
DR. PATRICE ROBIN POWELL
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No

Contacts:

Fax:
8888551622

Filings

Filing Number Date Filed Type Effective Date
221020000582 2022-10-20 BIENNIAL STATEMENT 2022-10-01
210315001051 2021-03-15 CERTIFICATE OF PUBLICATION 2021-03-15
201022000377 2020-10-22 ARTICLES OF ORGANIZATION 2020-10-22

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State