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RICHINA LUKES-MILLEDGE, NP ADULT HEALTH, P.C.

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Company Details

Name: RICHINA LUKES-MILLEDGE, NP ADULT HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Oct 2021 (4 years ago)
Entity Number: 6299425
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 273 walt whitman road, suite 190, HUNTINGTON STATION, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
RICHINA LUKES-MILLEDGE, NP ADULT HEALTH, P.C. DOS Process Agent 273 walt whitman road, suite 190, HUNTINGTON STATION, NY, United States, 11746

National Provider Identifier

NPI Number:
1356062061
Certification Date:
2024-06-12

Authorized Person:

Name:
MS. RITCHINA LUKES-MILLEDGE
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
211008001440 2021-10-08 CERTIFICATE OF INCORPORATION 2021-10-08

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State