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STILLWATER THERAPY, L.C.S.W., P.C.

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Company Details

Name: STILLWATER THERAPY, L.C.S.W., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jul 1995 (30 years ago)
Entity Number: 1942325
ZIP code: 11542
County: Suffolk
Place of Formation: New York
Address: 39 Highland Road, GLEN COVE, NY, United States, 11542
Principal Address: 1840 UNION BLVD, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SHAFER ZYSMAN DOS Process Agent 39 Highland Road, GLEN COVE, NY, United States, 11542

Chief Executive Officer

Name Role Address
DR. SHAFER ZYSMAN Chief Executive Officer 1840 UNION BLVD, BAY SHORE, NY, United States, 11706

National Provider Identifier

NPI Number:
1053550624

Authorized Person:

Name:
DR. SHAFER ZYSMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
6316477893

History

Start date End date Type Value
2025-07-03 2025-07-03 Address 56 WEST MAIN STREET, BAYSHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2025-07-03 2025-07-03 Address 1840 UNION BLVD, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2024-08-14 2025-07-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-08-14 2024-08-14 Address 56 WEST MAIN STREET, BAYSHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2024-08-14 2024-08-14 Address 1840 UNION BLVD, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250703002799 2025-07-03 BIENNIAL STATEMENT 2025-07-03
240814000368 2024-08-14 BIENNIAL STATEMENT 2024-08-14
081212000394 2008-12-12 CERTIFICATE OF AMENDMENT 2008-12-12
050906002212 2005-09-06 BIENNIAL STATEMENT 2005-07-01
010809002397 2001-08-09 BIENNIAL STATEMENT 2001-07-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State