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REGO PARK FAMILY HEALTH NP P.C.

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Company Details

Name: REGO PARK FAMILY HEALTH NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Oct 2024 (9 months ago)
Entity Number: 7443571
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 64-75 austin street ste m1, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 64-75 austin street ste m1, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1780406611
Certification Date:
2024-10-30

Authorized Person:

Name:
GRACE WANG
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2024-10-04 2025-01-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241016003301 2024-10-04 CERTIFICATE OF INCORPORATION 2024-10-04

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State