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PSYCHOLOGICAL WELLNESS OF NEW YORK P.C.

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Company Details

Name: PSYCHOLOGICAL WELLNESS OF NEW YORK P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Oct 2012 (13 years ago)
Entity Number: 4315273
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 2100 DEER PARK AVE, STE 7, DEER PARK, NY, United States, 11729

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2100 DEER PARK AVE, STE 7, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1861995201

Authorized Person:

Name:
DR. MARTA TERESA SILVA
Role:
OWNER/PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
8005280135

Filings

Filing Number Date Filed Type Effective Date
121031000635 2012-10-31 CERTIFICATE OF INCORPORATION 2012-10-31

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State