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THE ON CALL FAMILY HEALTH NURSE PRACTITIONER, PLLC

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Company Details

Name: THE ON CALL FAMILY HEALTH NURSE PRACTITIONER, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Dec 2023 (2 years ago)
Entity Number: 7214621
ZIP code: 12196
County: Rensselaer
Place of Formation: New York
Address: po box 183, WEST SAND LAKE, NY, United States, 12196

DOS Process Agent

Name Role Address
the pllc DOS Process Agent po box 183, WEST SAND LAKE, NY, United States, 12196

National Provider Identifier

NPI Number:
1053182139
Certification Date:
2025-03-27

Authorized Person:

Name:
SARAH OWENS
Role:
FAMILY HEALTH NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-12-28 2024-05-08 Address po box 183, WEST SAND LAKE, NY, 12196, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240508002684 2024-04-30 CERTIFICATE OF PUBLICATION 2024-04-30
231228000093 2023-12-27 ARTICLES OF ORGANIZATION 2023-12-27

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State