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DENISE C JOHNSON NURSE PRACTITIONER IN FAMILY HEALTH PLLC

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Company Details

Name: DENISE C JOHNSON NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Aug 2022 (3 years ago)
Entity Number: 6618421
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 74 stephen place, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
the llc DOS Process Agent 74 stephen place, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1215760699
Certification Date:
2024-08-22

Authorized Person:

Name:
DENISE JOHNSON
Role:
FNP
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221019000024 2022-08-24 ARTICLES OF ORGANIZATION 2022-08-24

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State