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BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES, P.C.

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Company Details

Name: BEHAVIORAL HEALTH NURSE PRACTITIONER PSYCHIATRIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Dec 2010 (15 years ago)
Entity Number: 4025155
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 28 ANNADALE ROAD, COMMACK, NY, United States, 11725

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 28 ANNADALE ROAD, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1043606015

Authorized Person:

Name:
MRS. DEBRA COANE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
6318934020

History

Start date End date Type Value
2010-12-01 2023-05-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2010-12-01 2023-08-19 Address 28 ANNADALE ROAD, COMMACK, NY, 11725, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230819000146 2023-05-01 CERTIFICATE OF AMENDMENT 2023-05-01
101201000346 2010-12-01 CERTIFICATE OF INCORPORATION 2010-12-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State