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SYCAMORE NP IN FAMILY HEALTH, P.C.

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Company Details

Name: SYCAMORE NP IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Apr 2022 (3 years ago)
Entity Number: 6457335
ZIP code: 10954
County: Rockland
Place of Formation: New York
Address: 100 lawrence st#105, NANUET, NY, United States, 10954

Contact Details

Phone +1 845-782-4000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 100 lawrence st#105, NANUET, NY, United States, 10954

National Provider Identifier

NPI Number:
1861131294
Certification Date:
2023-01-25

Authorized Person:

Name:
TZVI FARKAS
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220413001091 2022-04-12 CERTIFICATE OF INCORPORATION 2022-04-12

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State