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RUSSO SPEECH PATHOLOGY SERVICES, P.C.

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Company Details

Name: RUSSO SPEECH PATHOLOGY SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jul 2005 (20 years ago)
Entity Number: 3229631
ZIP code: 11563
County: Nassau
Place of Formation: New York
Address: 74 OLIVE DRIVE, LYNBROOK, NY, United States, 11563

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 74 OLIVE DRIVE, LYNBROOK, NY, United States, 11563

National Provider Identifier

NPI Number:
1225282692

Authorized Person:

Name:
MRS. ANGELA L RUSSO
Role:
SPEECH/LANGUAGE PATHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Fax:
5167852509

Filings

Filing Number Date Filed Type Effective Date
070827002561 2007-08-27 BIENNIAL STATEMENT 2007-07-01
050712000608 2005-07-12 CERTIFICATE OF INCORPORATION 2005-07-12

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State