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SETAUKET NURSE PRACTITIONER IN FAMILY HEALTH P.C.

Company Details

Name: SETAUKET NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Oct 2024 (7 months ago)
Entity Number: 7447910
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 336 nicolls rd, DEER PARK, NY, United States, 11729

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

Agent

Name Role Address
c/o doreen smith Agent 336 nicolls rd, DEER PARK, NY, 11729

DOS Process Agent

Name Role Address
c/o doreen smith DOS Process Agent 336 nicolls rd, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1437967577
Certification Date:
2025-01-22

Authorized Person:

Name:
DOREEN SMITH
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241023001547 2024-10-22 CERTIFICATE OF INCORPORATION 2024-10-22

Date of last update: 19 Mar 2025

Sources: New York Secretary of State