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NOVA FAMILY HEALTH NP, P.C.

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Company Details

Name: NOVA FAMILY HEALTH NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Aug 2023 (2 years ago)
Entity Number: 7015318
ZIP code: 11793
County: Nassau
Place of Formation: New York
Address: 1400 wantagh ave, WANTAGH, NY, United States, 11793

Contact Details

Phone +1 516-308-7405

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
valessa mesidor DOS Process Agent 1400 wantagh ave, WANTAGH, NY, United States, 11793

National Provider Identifier

NPI Number:
1114704285
Certification Date:
2024-07-08

Authorized Person:

Name:
MS. VALESSA MESIDOR
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5163087404

Filings

Filing Number Date Filed Type Effective Date
230828002670 2023-08-28 CERTIFICATE OF INCORPORATION 2023-08-28

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State