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NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC

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Company Details

Name: NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Dec 2020 (5 years ago)
Entity Number: 5893442
ZIP code: 12207
County: Albany
Place of Formation: New York
Address: 90 STATE STREET STE 700, OFFICE 40, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 90 STATE STREET STE 700, OFFICE 40, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1619563566
Certification Date:
2020-12-15

Authorized Person:

Name:
ENJOLI MCQUEEN KING
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Licenses

Number Type Date End date Address
AEB-21-01843 Appearance Enhancement Business License 2021-11-09 2025-11-09 941 Forest Ave, Staten Island, NY, 10310-2412
AEB-21-01843 DOSAEBUSINESS 2021-11-09 2025-11-09 941 Forest Ave, Staten Island, NY, 10310

Filings

Filing Number Date Filed Type Effective Date
221202000768 2022-12-02 BIENNIAL STATEMENT 2022-12-01
210611000071 2021-06-11 CERTIFICATE OF PUBLICATION 2021-06-11
201209000295 2020-12-09 ARTICLES OF ORGANIZATION 2020-12-09

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State