| Name: | SUSAN LEE PHELAN, NURSE PRACTITIONER-PHYCHIATRY, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 24 May 2001 (24 years ago) |
| Entity Number: | 2642697 |
| ZIP code: | 11776 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 1308 CONSTANCE LANE, PORT JEFFERSON STA., NY, United States, 11776 |
| Principal Address: | 128 OLD TOWN RD, SETAUKET, NY, United States, 11733 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| SUSAN LEE PHELAN NP PC | Chief Executive Officer | 128 OLD TOWN RD, SETAUKET, NY, United States, 11733 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1308 CONSTANCE LANE, PORT JEFFERSON STA., NY, United States, 11776 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 090421002959 | 2009-04-21 | BIENNIAL STATEMENT | 2009-05-01 |
| 070529002262 | 2007-05-29 | BIENNIAL STATEMENT | 2007-05-01 |
| 050712002488 | 2005-07-12 | BIENNIAL STATEMENT | 2005-05-01 |
| 030509002675 | 2003-05-09 | BIENNIAL STATEMENT | 2003-05-01 |
| 020325000421 | 2002-03-25 | CERTIFICATE OF AMENDMENT | 2002-03-25 |
| 010524000409 | 2001-05-24 | CERTIFICATE OF INCORPORATION | 2001-05-24 |
Date of last update: 20 Jan 2025
Sources: New York Secretary of State
