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ANDREA GRUNBLATT PSYCHOLOGY, PLLC

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Company Details

Name: ANDREA GRUNBLATT PSYCHOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Mar 2012 (13 years ago)
Entity Number: 4215615
ZIP code: 12401
County: Ulster
Place of Formation: New York
Address: 124 GREEN ST., KINGSTON, NY, United States, 12401

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 124 GREEN ST., KINGSTON, NY, United States, 12401

National Provider Identifier

NPI Number:
1255606406

Authorized Person:

Name:
DR. ANDREA GRUNBLATT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
8453354600

Filings

Filing Number Date Filed Type Effective Date
140505006450 2014-05-05 BIENNIAL STATEMENT 2014-03-01
120313000120 2012-03-13 ARTICLES OF ORGANIZATION 2012-03-13

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State