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CRYSTAL STONE FAMILY HEALTH NP PLLC

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Company Details

Name: CRYSTAL STONE FAMILY HEALTH NP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Aug 2024 (a year ago)
Entity Number: 7397887
ZIP code: 10469
County: Bronx
Place of Formation: New York
Address: 1017 burke ave, BRONX, NY, United States, 10469

Contact Details

Phone +1 347-543-1212

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 1017 burke ave, BRONX, NY, United States, 10469

National Provider Identifier

NPI Number:
1083435119
Certification Date:
2024-10-22

Authorized Person:

Name:
MR. CHARLES K OFORI-AMPOMAH
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240815001075 2024-08-14 ARTICLES OF ORGANIZATION 2024-08-14

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State