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URBANE CARE NP, NURSE PRACTITIONER IN FAMILY HEALTH PLLC

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Company Details

Name: URBANE CARE NP, NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Jun 2021 (4 years ago)
Entity Number: 6038084
ZIP code: 10303
County: New York
Place of Formation: New York
Address: 42 AMITY PLACE, STATEN ISLAND, NY, United States, 10303

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 42 AMITY PLACE, STATEN ISLAND, NY, United States, 10303

National Provider Identifier

NPI Number:
1497576946
Certification Date:
2024-10-12

Authorized Person:

Name:
OMOTARA ADEWALE
Role:
FAMILY HEALTH NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
2083B0002X - Obesity Medicine (Preventive Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9293670511

History

Start date End date Type Value
2021-06-16 2021-11-18 Address 42 AMITY PLACE, STATEN ISLAND, NY, 10303, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211118002168 2021-11-18 CERTIFICATE OF PUBLICATION 2021-11-18
210616000710 2021-06-16 ARTICLES OF ORGANIZATION 2021-06-16

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State