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BEAUTIFUL MIND MEDICAL, P.C.

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Company Details

Name: BEAUTIFUL MIND MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jul 2004 (21 years ago)
Entity Number: 3078279
ZIP code: 11234
County: Kings
Place of Formation: New York
Address: 2274 RYDER STREET, BROOKLYN, NY, United States, 11234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
VALERIY CHERNOV, MD Chief Executive Officer 2274 RYDER STREET, BROOKLYN, NY, United States, 11234

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2274 RYDER STREET, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1790952570

Authorized Person:

Name:
MR. VALERIY CHERNOV
Role:
PHISICIAN
Phone:

Taxonomy:

Selected Taxonomy:
103TP0016X - Prescribing (Medical) Psychologist
Is Primary:
Yes

Contacts:

Fax:
7182537774

History

Start date End date Type Value
2023-07-20 2023-07-20 Address 2274 RYDER STREET, BROOKLYN, NY, 11234, USA (Type of address: Chief Executive Officer)
2006-06-20 2023-07-20 Address 2274 RYDER STREET, BROOKLYN, NY, 11234, USA (Type of address: Chief Executive Officer)
2004-07-15 2023-07-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-07-15 2023-07-20 Address 2274 RYDER STREET, BROOKLYN, NY, 11234, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230720004604 2023-07-20 BIENNIAL STATEMENT 2022-07-01
060620002182 2006-06-20 BIENNIAL STATEMENT 2006-07-01
040715000114 2004-07-15 CERTIFICATE OF INCORPORATION 2004-07-15

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State