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BC NURSE PRACTITIONER IN ADULT HEALTH PLLC

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Company Details

Name: BC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jan 2025 (6 months ago)
Entity Number: 7526915
ZIP code: 11570
County: Nassau
Place of Formation: New York
Address: 14 jackson avenue, ROCKVILLE CENTRE, NY, United States, 11570

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 14 jackson avenue, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1831997303
Certification Date:
2025-05-01

Authorized Person:

Name:
BRIAN CUJILAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5165708877

Filings

Filing Number Date Filed Type Effective Date
250205002727 2025-01-29 ARTICLES OF ORGANIZATION 2025-01-29

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State