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SVETLANA PYATIGORSKAYA NP IN FAMILY HEALTH P.C.

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Company Details

Name: SVETLANA PYATIGORSKAYA NP IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Mar 2021 (4 years ago)
Entity Number: 5970435
ZIP code: 11582
County: Kings
Place of Formation: New York
Address: PO BOX 681, 1, VALLEY STREAM, NY, United States, 11582
Principal Address: 1850 OCEAN PKWY, APT E10, BROOKLYN, NY, United States, 11223

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SVETLANA PYATIGORSKAYA DOS Process Agent PO BOX 681, 1, VALLEY STREAM, NY, United States, 11582

Chief Executive Officer

Name Role Address
SVETLANA PYATIGORSKAYA Chief Executive Officer PO BOX 681, VALLEY STREAM, NY, United States, 11582

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
SVETLANA PYATIGORSKAYA
Ownership and Self-Certifications:
Woman Owned
User ID:
P3366746

Unique Entity ID

Unique Entity ID:
TRZGMPCJBLU7
CAGE Code:
104Q6
UEI Expiration Date:
2026-02-17

Business Information

Activation Date:
2025-02-20
Initial Registration Date:
2025-01-30

Commercial and government entity program

CAGE number:
104Q6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-20
CAGE Expiration:
2030-02-20
SAM Expiration:
2026-02-17

Contact Information

POC:
SVETLANA PYATIGORSKAYA

National Provider Identifier

NPI Number:
1629644349
Certification Date:
2024-07-08

Authorized Person:

Name:
SVETLANA PYATIGORSKAYA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WG0000X - General Practice Registered Nurse
Is Primary:
Yes

Contacts:

Fax:
3475212939

History

Start date End date Type Value
2021-03-23 2024-05-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-03-23 2024-05-13 Address 1850 OCEAN PKWY, APT E10, BROOKLYN, NY, 11223, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240513002216 2024-05-13 BIENNIAL STATEMENT 2024-05-13
210323000295 2021-03-23 CERTIFICATE OF INCORPORATION 2021-03-23

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State