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WELLNESS NP IN COMMUNITY HEALTH, P.C.

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Company Details

Name: WELLNESS NP IN COMMUNITY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Sep 2021 (4 years ago)
Entity Number: 6288849
ZIP code: 11210
County: Kings
Place of Formation: New York
Address: 3215 AVENUE H, SUITE 1P, BROOKLYN, NY, United States, 11210

Contact Details

Phone +1 718-717-2278

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3215 AVENUE H, SUITE 1P, BROOKLYN, NY, United States, 11210

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
TOMNICA THOMAS
Ownership and Self-Certifications:
Black American, Other Minority Owned
User ID:
P3238758

Unique Entity ID

Unique Entity ID:
RR9KNB61MNR8
CAGE Code:
9T3U0
UEI Expiration Date:
2025-11-17

Business Information

Activation Date:
2024-11-19
Initial Registration Date:
2024-01-12

National Provider Identifier

NPI Number:
1902565211
Certification Date:
2021-12-13

Authorized Person:

Name:
ANN MILLS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9292346504

Filings

Filing Number Date Filed Type Effective Date
210924002919 2021-09-24 CERTIFICATE OF INCORPORATION 2021-09-24

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State