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INNOVATIVE CARE, NP IN FAMILY HEALTH PLLC

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Company Details

Name: INNOVATIVE CARE, NP IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Jan 2024 (a year ago)
Entity Number: 7233104
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 1695 remsen ave, BROOKLYN, NY, United States, 11236

Contact Details

Phone +1 917-239-3094

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1695 remsen ave, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1982468401
Certification Date:
2024-02-07

Authorized Person:

Name:
JEANNE E VILSAINT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7182874600

Filings

Filing Number Date Filed Type Effective Date
240119002509 2024-01-18 ARTICLES OF ORGANIZATION 2024-01-18

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State