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CITY FAMILY HEALTH NP HOUSE CALL PROVIDER, PLLC

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Company Details

Name: CITY FAMILY HEALTH NP HOUSE CALL PROVIDER, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Apr 2022 (3 years ago)
Entity Number: 6461378
ZIP code: 12207
County: Bronx
Place of Formation: New York
Address: 90 STATE STREET, STE 700 OFFICE 40, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 90 STATE STREET, STE 700 OFFICE 40, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1841092178
Certification Date:
2025-03-26

Authorized Person:

Name:
SAHADATU AKILU
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220419001471 2022-04-19 ARTICLES OF ORGANIZATION 2022-04-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State