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FUNCTIONAL SPEECH PATHOLOGY P.C.

Company Details

Name: FUNCTIONAL SPEECH PATHOLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jun 2015 (10 years ago)
Entity Number: 4774054
ZIP code: 11756
County: Nassau
Place of Formation: New York
Address: 38 CLOVER LANE, LEVITTOWN, NY, United States, 11756

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 38 CLOVER LANE, LEVITTOWN, NY, United States, 11756

National Provider Identifier

NPI Number:
1619443249

Authorized Person:

Name:
LEENA VIJAY BHOPALE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150612000527 2015-06-12 CERTIFICATE OF INCORPORATION 2015-06-12

Date of last update: 25 Mar 2025

Sources: New York Secretary of State