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NOIR WELL MOBILE ADULT HEALTH N.P., P.C.

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Company Details

Name: NOIR WELL MOBILE ADULT HEALTH N.P., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Mar 2022 (3 years ago)
Entity Number: 6430690
ZIP code: 12207
County: Kings
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1487379475
Certification Date:
2025-01-17

Authorized Person:

Name:
MS. ANNITA MALINDA TAYOR
Role:
NP/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WG0000X - General Practice Registered Nurse
Is Primary:
No
Selected Taxonomy:
164W00000X - Licensed Practical Nurse
Is Primary:
No
Selected Taxonomy:
2083P0901X - Public Health & General Preventive Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LC1500X - Community Health Nurse Practitioner
Is Primary:
No

Contacts:

History

Start date End date Type Value
2022-03-15 2022-03-15 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220315003887 2022-03-15 CERTIFICATE OF INCORPORATION 2022-03-15

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State