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ADVANCED PSYCHOLOGICAL ASSESSMENT P.C.

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Company Details

Name: ADVANCED PSYCHOLOGICAL ASSESSMENT P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Oct 2005 (20 years ago)
Entity Number: 3265253
ZIP code: 11787
County: Nassau
Place of Formation: New York
Address: 50 KARL AVENUE / SUITE 104, SMITHTOWN, NY, United States, 11787

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAHAL ROZENBLATT, PHD Chief Executive Officer 50 KARL AVENUE / SUITE 104, SMITHTOWN, NY, United States, 11787

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 50 KARL AVENUE / SUITE 104, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1750417408

Authorized Person:

Name:
DR. SHAHAL ROZENBLATT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2005-10-05 2007-11-19 Address 1979 MARCUS AVENUE, SUITE 210, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171003006688 2017-10-03 BIENNIAL STATEMENT 2017-10-01
131010006118 2013-10-10 BIENNIAL STATEMENT 2013-10-01
111115002436 2011-11-15 BIENNIAL STATEMENT 2011-10-01
091102002085 2009-11-02 BIENNIAL STATEMENT 2009-10-01
071119002681 2007-11-19 BIENNIAL STATEMENT 2007-10-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State