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SHIRLEY D. VINCENT DNP, FAMILY HEALTH NP P.C.

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Company Details

Name: SHIRLEY D. VINCENT DNP, FAMILY HEALTH NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jan 2023 (2 years ago)
Entity Number: 6704683
ZIP code: 10304
County: New York
Place of Formation: New York
Address: 28 celebration lane, STATEN ISLAND, NY, United States, 10304

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the .c. DOS Process Agent 28 celebration lane, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1356039424
Certification Date:
2023-04-26

Authorized Person:

Name:
SHIRLEY VINCENT
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-01-20 2025-05-11 Address 28 celebration lane, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process)
2023-01-19 2025-05-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250511000183 2025-05-11 BIENNIAL STATEMENT 2025-05-11
230120003991 2023-01-19 CERTIFICATE OF INCORPORATION 2023-01-19

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State