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WEST LAWRENCE NP FAMILY HEALTH PLLC

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Company Details

Name: WEST LAWRENCE NP FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Aug 2022 (3 years ago)
Entity Number: 6567013
ZIP code: 11691
County: Queens
Place of Formation: New York
Address: 509 JARVIS AVENUE, FAR ROCKAWAY, NY, United States, 11691

Contact Details

Phone +1 917-509-6962

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 509 JARVIS AVENUE, FAR ROCKAWAY, NY, United States, 11691

National Provider Identifier

NPI Number:
1881311900
Certification Date:
2022-10-20

Authorized Person:

Name:
MRS. BRENDA SPORN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7184717247

Filings

Filing Number Date Filed Type Effective Date
220819001561 2022-08-18 ARTICLES OF ORGANIZATION 2022-08-18

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State