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NICOLE IMBASCIANI NURSE PRACTITIONER IN ADULT HEALTH PLLC

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Company Details

Name: NICOLE IMBASCIANI NURSE PRACTITIONER IN ADULT HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Aug 2021 (4 years ago)
Entity Number: 6234880
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 250 W 3RD STREET, DEER PARK, NY, United States, 11729

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 250 W 3RD STREET, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1427888007
Certification Date:
2024-08-07

Authorized Person:

Name:
NICOLE IMBASCIANI
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210803003499 2021-08-02 ARTICLES OF ORGANIZATION 2021-08-02

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State