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ELIVASION HEALTH & WELLNESS CORP.

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Company Details

Name: ELIVASION HEALTH & WELLNESS CORP.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 08 Jul 2022 (3 years ago)
Entity Number: 6532574
ZIP code: 11213
County: Kings
Place of Formation: New York
Address: 763 Eastern Pkwy, Apt E17, Brooklyn, NY, United States, 11213

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
Cindy-Anne Williams DOS Process Agent 763 Eastern Pkwy, Apt E17, Brooklyn, NY, United States, 11213

National Provider Identifier

NPI Number:
1740067859
Certification Date:
2023-09-11

Authorized Person:

Name:
CINDY-ANNE WILLIAMS
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7187190837

Licenses

Number Type Date End date Address
AEB-23-01223 Appearance Enhancement Business License 2023-06-16 2027-06-16 28 Fayette St, Brooklyn, NY, 11206-4663
AEB-23-01223 DOSAEBUSINESS 2023-06-16 2027-06-16 28 Fayette St, Brooklyn, NY, 11206

Filings

Filing Number Date Filed Type Effective Date
220708002072 2022-07-08 CERTIFICATE OF INCORPORATION 2022-07-08

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State