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KS FAMILY HEALTH NURSE PRACTITIONER PLLC

Company Details

Name: KS FAMILY HEALTH NURSE PRACTITIONER PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Sep 2021 (4 years ago)
Entity Number: 6274789
ZIP code: 11210
County: Kings
Place of Formation: New York
Address: 818 east 22nd street, BROOKLYN, NY, United States, 11210

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 818 east 22nd street, BROOKLYN, NY, United States, 11210

National Provider Identifier

NPI Number:
1841040052
Certification Date:
2024-03-22

Authorized Person:

Name:
KETIE SAINTELUS
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-09-07 2024-06-09 Address 818 east 22nd street, BROOKLYN, NY, 11210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240609000122 2024-06-09 BIENNIAL STATEMENT 2024-06-09
210907000203 2021-09-02 ARTICLES OF ORGANIZATION 2021-09-02

Date of last update: 21 Mar 2025

Sources: New York Secretary of State