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ON THE GO NP IN ADULT HEALTH, PLLC

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Company Details

Name: ON THE GO NP IN ADULT HEALTH, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Sep 2022 (3 years ago)
Entity Number: 6597321
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 442 s. oyster bay road, #1020, HICKSVILLE, NY, United States, 11801

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 442 s. oyster bay road, #1020, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1366153199
Certification Date:
2022-12-09

Authorized Person:

Name:
LAURIE LUCAS
Role:
NURSE PRACTITIONER/ CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220925000184 2022-09-23 ARTICLES OF ORGANIZATION 2022-09-23

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State