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THE NP IN FAMILY HEALTH HAVEN, PLLC

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Company Details

Name: THE NP IN FAMILY HEALTH HAVEN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Feb 2024 (a year ago)
Entity Number: 7289144
ZIP code: 10465
County: Bronx
Place of Formation: New York
Address: 3612 east tremont avenue, BRONX, NY, United States, 10465

Agent

Name Role Address
jacqueline burke Agent 534 south 6th avenue, MOUNT VERNON, NY, 10550

DOS Process Agent

Name Role Address
the llc DOS Process Agent 3612 east tremont avenue, BRONX, NY, United States, 10465

National Provider Identifier

NPI Number:
1750125332
Certification Date:
2024-06-19

Authorized Person:

Name:
MS. JACQUELINE BURKE
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240326000223 2024-02-06 ARTICLES OF ORGANIZATION 2024-02-06

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State