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SPARKLE CARE FAMILY HEALTH NP PLLC

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Company Details

Name: SPARKLE CARE FAMILY HEALTH NP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Feb 2022 (3 years ago)
Entity Number: 6402456
ZIP code: 11722
County: Suffolk
Place of Formation: New York
Address: 25 nicoll ave, CENTRAL ISLIP, NY, United States, 11722

Contact Details

Phone +1 631-605-4089

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 25 nicoll ave, CENTRAL ISLIP, NY, United States, 11722

National Provider Identifier

NPI Number:
1831892462
Certification Date:
2023-03-23

Authorized Person:

Name:
TAKEISHA JUDKINS
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220211003891 2022-02-10 ARTICLES OF ORGANIZATION 2022-02-10

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State