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GRACE WANG NP IN FAMILY HEALTH P.C.

Company Details

Name: GRACE WANG NP IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jan 2023 (2 years ago)
Entity Number: 6704533
ZIP code: 11572
County: Nassau
Place of Formation: New York
Address: 2893 ARNOLD AVE., OCEANSIDE, NY, United States, 11572

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2893 ARNOLD AVE., OCEANSIDE, NY, United States, 11572

National Provider Identifier

NPI Number:
1447936299
Certification Date:
2024-12-28

Authorized Person:

Name:
GRACE WANG
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3472363161

Filings

Filing Number Date Filed Type Effective Date
230120003613 2023-01-19 CERTIFICATE OF INCORPORATION 2023-01-19

Date of last update: 20 Mar 2025

Sources: New York Secretary of State