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SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES, PLLC

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Company Details

Name: SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Dec 2021 (4 years ago)
Entity Number: 6360882
ZIP code: 13790
County: Broome
Place of Formation: New York
Address: 520 COLUMBIA DRIVE, SUITE 203, JOHNSON CITY, NY, United States, 13790

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 520 COLUMBIA DRIVE, SUITE 203, JOHNSON CITY, NY, United States, 13790

National Provider Identifier

NPI Number:
1396492369
Certification Date:
2022-03-09

Authorized Person:

Name:
DANIEL BABCOCK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-12-31 2022-04-29 Address 520 COLUMBIA DRIVE, SUITE 203, JOHNSON CITY, NY, 13790, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220429000266 2022-04-28 CERTIFICATE OF PUBLICATION 2022-04-28
211231001310 2021-12-30 ARTICLES OF ORGANIZATION 2021-12-30

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State