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LYNNE M. BRODY, M.D., P.C.

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Company Details

Name: LYNNE M. BRODY, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Dec 2013 (12 years ago)
Entity Number: 4494401
ZIP code: 10570
County: Westchester
Place of Formation: New York
Address: 415 BEDFORD ROAD SUITE 104, PLEASANTVILLE, NY, United States, 10570

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 415 BEDFORD ROAD SUITE 104, PLEASANTVILLE, NY, United States, 10570

National Provider Identifier

NPI Number:
1831510445

Authorized Person:

Name:
DR. LYNNE M BRODY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
9147620636

Filings

Filing Number Date Filed Type Effective Date
131202000439 2013-12-02 CERTIFICATE OF INCORPORATION 2013-12-02

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State