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CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC

Company Details

Name: CENTRAL NEW YORK FAMILY HEALTH NURSE PRACTITIONER PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jun 2021 (4 years ago)
Entity Number: 6223073
ZIP code: 13039
County: Onondaga
Place of Formation: New York
Address: 5701 E. CIRCLE DR. #264, STE 108, CICERO, NY, United States, 13039

DOS Process Agent

Name Role Address
the LLC DOS Process Agent 5701 E. CIRCLE DR. #264, STE 108, CICERO, NY, United States, 13039

National Provider Identifier

NPI Number:
1417622135
Certification Date:
2021-07-20

Authorized Person:

Name:
MIDZY LYSIUS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210719003015 2021-06-21 ARTICLES OF ORGANIZATION 2021-06-21

Date of last update: 22 Mar 2025

Sources: New York Secretary of State