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SOUTH SHORE FAMILY HEALTH NP, P.C.

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Company Details

Name: SOUTH SHORE FAMILY HEALTH NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Feb 2023 (2 years ago)
Entity Number: 6734095
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 100 DUFFY AVE, SUITE 510, HICKSVILLE, NY, United States, 11801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE P.C. DOS Process Agent 100 DUFFY AVE, SUITE 510, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1437859949
Certification Date:
2023-10-24

Authorized Person:

Name:
ASHLEY VALEUS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-06-28 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-10 2025-06-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-10 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-03 2025-06-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-30 2025-06-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230216001510 2023-02-15 CERTIFICATE OF INCORPORATION 2023-02-15

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State