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PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORATION

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Company Details

Name: PECONIC BAY FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 02 Jun 2021 (4 years ago)
Entity Number: 6026930
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

National Provider Identifier

NPI Number:
1497591507
Certification Date:
2024-07-08

Authorized Person:

Name:
JENNIFER A MEYER
Role:
NURSE PRACTICIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6315486007

Filings

Filing Number Date Filed Type Effective Date
210602000521 2021-06-02 CERTIFICATE OF INCORPORATION 2021-06-02

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State