Search icon

NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.

Company Details

Name: NANCY C. DEACON, PSYCHIATRIC NURSE PRACTITIONER, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 May 2015 (10 years ago)
Entity Number: 4760848
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 80 SALEM RIDGE DRIVE, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 80 SALEM RIDGE DRIVE, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1891170544

Authorized Person:

Name:
MRS. NANCY DEACON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6315491097

Filings

Filing Number Date Filed Type Effective Date
150519000359 2015-05-19 CERTIFICATE OF INCORPORATION 2015-05-19

Date of last update: 25 Mar 2025

Sources: New York Secretary of State