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VIVIAN K. GERARD, RN NURSE PRACTITIONER IN PSYCHIATRY P.C.

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Company Details

Name: VIVIAN K. GERARD, RN NURSE PRACTITIONER IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Sep 2015 (10 years ago)
Entity Number: 4817261
ZIP code: 12207
County: Erie
Place of Formation: New York
Address: 418 BROADWAY, STE R, ALBANY, NY, United States, 12207
Principal Address: 2144 Bedell Road, Grand Island, NY, United States, 14072

Shares Details

Shares issued 1000

Share Par Value 0.001

Type PAR VALUE

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 418 BROADWAY, STE R, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
VIVIAN GERARD Chief Executive Officer 2144 BEDELL ROAD, GRAND ISLAND, NY, United States, 14072

National Provider Identifier

NPI Number:
1952123721
Certification Date:
2024-12-27

Authorized Person:

Name:
TRACY A KLAPP
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2023-09-01 2023-09-01 Address 2144 BEDELL ROAD, GRAND ISLAND, NY, 14072, USA (Type of address: Chief Executive Officer)
2022-09-29 2023-09-01 Address 418 BROADWAY, STE R, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2015-09-09 2023-09-01 Shares Share type: PAR VALUE, Number of shares: 1000, Par value: 0.001
2015-09-09 2022-09-29 Address 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230901007962 2023-09-01 BIENNIAL STATEMENT 2023-09-01
220929019199 2022-09-29 CERTIFICATE OF CHANGE BY AGENT 2022-09-29
210927001528 2021-09-27 BIENNIAL STATEMENT 2021-09-27
150909000647 2015-09-09 CERTIFICATE OF INCORPORATION 2015-09-09

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State