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ADULT GERIATRIC HEALTH NP, P.C.

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Company Details

Name: ADULT GERIATRIC HEALTH NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jul 2022 (3 years ago)
Entity Number: 6532463
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 11 ralph place, STATEN ISLAND, NY, United States, 10304

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 11 ralph place, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1962137646
Certification Date:
2022-07-18

Authorized Person:

Name:
NATALIA MAXIMOVSKY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220708001614 2022-07-07 CERTIFICATE OF INCORPORATION 2022-07-07

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State