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NORTH FORK PSYCHIATRY, PLLC

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Company Details

Name: NORTH FORK PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jan 2010 (15 years ago)
Entity Number: 3900878
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 185 GRANT DR, Riverhead, NY, United States, 11901

DOS Process Agent

Name Role Address
TONI HOVERKAMP DOS Process Agent 185 GRANT DR, Riverhead, NY, United States, 11901

National Provider Identifier

NPI Number:
1437474137

Authorized Person:

Name:
DOUGLAS K HOVERKAMP
Role:
CEO, EXECUTIVE CHAIRMAN
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6214770219

History

Start date End date Type Value
2010-01-15 2023-10-20 Address 300 ATLANTIC AVENUE, GREENPORT, NY, 11944, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231020001350 2023-10-20 BIENNIAL STATEMENT 2022-01-01
100722000986 2010-07-22 CERTIFICATE OF PUBLICATION 2010-07-22
100115000968 2010-01-15 ARTICLES OF ORGANIZATION 2010-01-15

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State