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LAVENDER HEALTH NP IN FAMILY HEALTH PLLC

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Company Details

Name: LAVENDER HEALTH NP IN FAMILY HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Apr 2023 (2 years ago)
Entity Number: 7236560
ZIP code: 10025
County: New York
Place of Formation: New York
Address: 400 WEST 113TH STREET, APT 411, NEW YORK, NY, United States, 10025

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 400 WEST 113TH STREET, APT 411, NEW YORK, NY, United States, 10025

National Provider Identifier

NPI Number:
1306608815
Certification Date:
2024-01-29

Authorized Person:

Name:
ERIN BARRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240124002671 2023-04-05 ARTICLES OF ORGANIZATION 2023-04-05

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State