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MODERN WELLNESS NP IN FAMILY HEALTH, P.L.L.C.

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Company Details

Name: MODERN WELLNESS NP IN FAMILY HEALTH, P.L.L.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Sep 2023 (2 years ago)
Entity Number: 7149631
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 100 duffy ave, suite 510, HICKSVILLE, NY, United States, 11801

DOS Process Agent

Name Role Address
the llc DOS Process Agent 100 duffy ave, suite 510, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1518740943
Certification Date:
2023-11-30

Authorized Person:

Name:
ASHLEY VALEUS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
231004000606 2023-09-28 ARTICLES OF ORGANIZATION 2023-09-28

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State