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JOSE M. MARIA FAMILY HEALTH NURSE PRACTITIONER, P.C.

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Company Details

Name: JOSE M. MARIA FAMILY HEALTH NURSE PRACTITIONER, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 2023 (2 years ago)
Entity Number: 7010452
ZIP code: 11369
County: Queens
Place of Formation: New York
Address: 24-20 ERICSSON STREET, EAST ELMHURST, NY, United States, 11369

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 24-20 ERICSSON STREET, EAST ELMHURST, NY, United States, 11369

National Provider Identifier

NPI Number:
1386410587
Certification Date:
2023-11-28

Authorized Person:

Name:
JOSE M MARIA
Role:
OWNER / PROVIDER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230822003302 2023-08-22 CERTIFICATE OF INCORPORATION 2023-08-22

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State