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EVALINE OBARE, FAMILY HEALTH NURSE PRACTITIONER, P.C.

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Company Details

Name: EVALINE OBARE, FAMILY HEALTH NURSE PRACTITIONER, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jun 2023 (2 years ago)
Entity Number: 6871832
ZIP code: 10992
County: Westchester
Place of Formation: New York
Address: 5 fairlawn drive, ste 102, WASHINGTONVILLE, NY, United States, 10992

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 5 fairlawn drive, ste 102, WASHINGTONVILLE, NY, United States, 10992

National Provider Identifier

NPI Number:
1548942774
Certification Date:
2023-08-07

Authorized Person:

Name:
MS. EVALINE AWUOR OBARE
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230609001040 2023-06-06 CERTIFICATE OF INCORPORATION 2023-06-06

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State