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BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY P.C.

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Company Details

Name: BOARO CONSULTATIONS NURSE PRACTITIONER IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Dec 2004 (21 years ago)
Entity Number: 3132700
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 33 CORNELL DR, SMITHTOWN, NY, United States, 11787

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DIANE BOARO DOS Process Agent 33 CORNELL DR, SMITHTOWN, NY, United States, 11787

Chief Executive Officer

Name Role Address
DIANE BOARO Chief Executive Officer 33 CORNELL DR, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1992975379

Authorized Person:

Name:
DIANE BOARO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6316892055

Filings

Filing Number Date Filed Type Effective Date
070109002439 2007-01-09 BIENNIAL STATEMENT 2006-12-01
041202000473 2004-12-02 CERTIFICATE OF INCORPORATION 2004-12-02

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State