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FULL BODY FAMILY HEALTH NP, P.C.

Company Details

Name: FULL BODY FAMILY HEALTH NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Sep 2023 (2 years ago)
Entity Number: 7088151
ZIP code: 11704
County: Suffolk
Place of Formation: New York
Address: 160 new york ave, WEST BABYLON, NY, United States, 11704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 160 new york ave, WEST BABYLON, NY, United States, 11704

National Provider Identifier

NPI Number:
1053183350
Certification Date:
2023-10-30

Authorized Person:

Name:
MS. MARSHALETTE GILLINGS
Role:
EMPLOYEE
Phone:

Taxonomy:

Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
171400000X - Health & Wellness Coach
Is Primary:
No
Selected Taxonomy:
174H00000X - Health Educator
Is Primary:
No
Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230925000342 2023-09-06 CERTIFICATE OF INCORPORATION 2023-09-06

Date of last update: 20 Mar 2025

Sources: New York Secretary of State