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URICK MICHEL NP IN FAMILY HEALTH, ADULT HEALTH, & PSYCHIATRY P.C.

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Company Details

Name: URICK MICHEL NP IN FAMILY HEALTH, ADULT HEALTH, & PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 2022 (3 years ago)
Entity Number: 6433176
ZIP code: 11010
County: Nassau
Place of Formation: New York
Address: 1088 RUSSELL STREET, FRANKLIN SQUARE, NY, United States, 11010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORP. DOS Process Agent 1088 RUSSELL STREET, FRANKLIN SQUARE, NY, United States, 11010

National Provider Identifier

NPI Number:
1528707239
Certification Date:
2022-05-25

Authorized Person:

Name:
URICK MICHEL
Role:
OWNER/CEO
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220317002559 2022-03-17 CERTIFICATE OF INCORPORATION 2022-03-17

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State