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VICTORY FAMILY WELLNESS LLC

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Company Details

Name: VICTORY FAMILY WELLNESS LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Dec 2021 (4 years ago)
Entity Number: 6344700
ZIP code: 10309
County: Richmond
Place of Formation: New York
Address: 115 MADSEN AVE, STATEN ISLAND, NY, United States, 10309

DOS Process Agent

Name Role Address
VICTORY FAMILY WELLNESS LLC DOS Process Agent 115 MADSEN AVE, STATEN ISLAND, NY, United States, 10309

National Provider Identifier

NPI Number:
1205559812
Certification Date:
2022-09-20

Authorized Person:

Name:
LARISSA JEROMINOW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
9177919110

Filings

Filing Number Date Filed Type Effective Date
220322001206 2022-03-21 CERTIFICATE OF PUBLICATION 2022-03-21
211208001641 2021-12-08 ARTICLES OF ORGANIZATION 2021-12-08

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State