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STEPHANIE FULLER NP IN FAMILY HEALTH, P.C.

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Company Details

Name: STEPHANIE FULLER NP IN FAMILY HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 May 2024 (a year ago)
Entity Number: 7332365
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 1967 WEHRLE DRIVE, SUITE 1-086, BUFFALO, NY, United States, 14221

Shares Details

Shares issued 1500

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
LEGALINC CORPORATE SERVICES INC. DOS Process Agent 1967 WEHRLE DRIVE, SUITE 1-086, BUFFALO, NY, United States, 14221

National Provider Identifier

NPI Number:
1538902663
Certification Date:
2024-06-17

Authorized Person:

Name:
STEPHANIE R FULLER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240520001794 2024-05-17 CERTIFICATE OF INCORPORATION 2024-05-17

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State