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INTERFAITH PSYCHIATRY SERVICES, P.C.

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Company Details

Name: INTERFAITH PSYCHIATRY SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Dec 2010 (15 years ago)
Entity Number: 4031205
ZIP code: 11213
County: Kings
Place of Formation: New York
Address: 1545 Atlantic Avenue, Brooklyn, NY, United States, 11213
Principal Address: c/o Interfaith Medical Center 1545 Atlantic Avenue, Brooklyn, NY, United States, 11213

Contact Details

Phone +1 718-613-4000

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
C/O INTERFAITH MEDICAL CENTER DOS Process Agent 1545 Atlantic Avenue, Brooklyn, NY, United States, 11213

Chief Executive Officer

Name Role Address
JASON EDWARD HERSHBERGER Chief Executive Officer C/O INTERFAITH MEDICAL CENTER 1545 ATLANTIC AVENUE, BROOKLYN, NY, United States, 11213

National Provider Identifier

NPI Number:
1487958559
Certification Date:
2020-02-13

Authorized Person:

Name:
JASON HERSHBERGER
Role:
CHAIRMAN / P.C. PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
7186134101

History

Start date End date Type Value
2010-12-15 2024-04-29 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2010-12-15 2024-04-29 Address ATTN: PRESIDENT, 1545 ATLANTIC AVENUE, BROOKLYN, NY, 11213, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240429001789 2024-04-29 BIENNIAL STATEMENT 2024-04-29
101215000746 2010-12-15 CERTIFICATE OF INCORPORATION 2010-12-15

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State