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ANN E. PERRY-BLIZZARD, NP-PSYCHIATRY, P.C.

Company Details

Name: ANN E. PERRY-BLIZZARD, NP-PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Sep 2010 (15 years ago)
Entity Number: 3999871
ZIP code: 11769
County: Suffolk
Place of Formation: New York
Address: 5 FAIRWIND COURT, OAKDALE, NY, United States, 11769

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ANN E. PERRY-BLIZZARD DOS Process Agent 5 FAIRWIND COURT, OAKDALE, NY, United States, 11769

National Provider Identifier

NPI Number:
1134429376

Authorized Person:

Name:
MRS. ANN E PERRY-BLIZZARD
Role:
NP-PSYCHIATRY
Phone:

Taxonomy:

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

Contacts:

Fax:
6316895395

Filings

Filing Number Date Filed Type Effective Date
100924000809 2010-09-24 CERTIFICATE OF INCORPORATION 2010-09-24

Date of last update: 27 Mar 2025

Sources: New York Secretary of State