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CHILD AND ADULT CLINICAL PSYCHIATRY, P.C.

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Company Details

Name: CHILD AND ADULT CLINICAL PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Aug 2011 (14 years ago)
Entity Number: 4125110
ZIP code: 11946
County: Suffolk
Place of Formation: New York
Address: 13 WOODVIEW WAY, HAMPTON BAYS, NY, United States, 11946
Principal Address: 75 PROSPECT STREET SUITE 110, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
ALEKSANDRA KRUNIC DOS Process Agent 13 WOODVIEW WAY, HAMPTON BAYS, NY, United States, 11946

Chief Executive Officer

Name Role Address
ALEKSANDRA KRUNIC Chief Executive Officer 75 PROSPECT STREET SUITE 110, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1023632015
Certification Date:
2020-06-04

Authorized Person:

Name:
DR. ALEKSANDRA KRUNIC
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
8552259703

History

Start date End date Type Value
2013-08-12 2019-08-21 Address 75 PROSPECT STREET SUITE 108, HUNTINGTON, NY, 11743, USA (Type of address: Chief Executive Officer)
2013-08-12 2019-08-21 Address 75 PROSPECT STREET SUITE 108, HUNTINGTON, NY, 11743, USA (Type of address: Principal Executive Office)
2011-08-01 2015-08-12 Address 359 E. MAIN STREET, SUITE 1D, MT. KISCO, NY, 10549, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190821060099 2019-08-21 BIENNIAL STATEMENT 2019-08-01
150812006170 2015-08-12 BIENNIAL STATEMENT 2015-08-01
130812006727 2013-08-12 BIENNIAL STATEMENT 2013-08-01
110801000737 2011-08-01 CERTIFICATE OF INCORPORATION 2011-08-01

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State