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NELLY STA MARIA PSYCHOLOGIST, PLLC

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Company Details

Name: NELLY STA MARIA PSYCHOLOGIST, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Jun 2008 (17 years ago)
Entity Number: 3687191
ZIP code: 11701
County: Suffolk
Place of Formation: New York
Address: 1115 Avalon Court Dr, Amityville, NY, Amityville, NY, United States, 11701

DOS Process Agent

Name Role Address
NELLY STA MARIA PSYCHOLOGIST PLLC DOS Process Agent 1115 Avalon Court Dr, Amityville, NY, Amityville, NY, United States, 11701

National Provider Identifier

NPI Number:
1790922433

Authorized Person:

Name:
DR. NELLY L STA MARIA
Role:
CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-04-26 2024-07-06 Address 1115 Avalon Court Dr, Melville, NY, 11747, USA (Type of address: Service of Process)
2008-06-20 2023-04-26 Address 57 DOLPHIN LANE EAST, COPIAGUE, NY, 11726, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240706000046 2024-07-06 BIENNIAL STATEMENT 2024-07-06
230426004063 2023-04-26 BIENNIAL STATEMENT 2022-06-01
200605060607 2020-06-05 BIENNIAL STATEMENT 2020-06-01
180614006173 2018-06-14 BIENNIAL STATEMENT 2018-06-01
160620006125 2016-06-20 BIENNIAL STATEMENT 2016-06-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State