Search icon

LONG ISLAND SPEECH PATHOLOGY MYOFUNCTIONAL THERAPY SERVICES, P.C.

Company Details

Name: LONG ISLAND SPEECH PATHOLOGY MYOFUNCTIONAL THERAPY SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Dec 2012 (12 years ago)
Entity Number: 4336320
ZIP code: 11766
County: Suffolk
Place of Formation: New York
Address: 10 SEAN LANE, MT. SINAI, NY, United States, 11766

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 SEAN LANE, MT. SINAI, NY, United States, 11766

National Provider Identifier

NPI Number:
1720761224
Certification Date:
2023-08-10

Authorized Person:

Name:
JANINE STIENE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
121221000440 2012-12-21 CERTIFICATE OF INCORPORATION 2012-12-21

Date of last update: 26 Mar 2025

Sources: New York Secretary of State