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QUEENS COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGY PLLC

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Company Details

Name: QUEENS COGNITIVE BEHAVIORAL THERAPY PSYCHOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Sep 2015 (10 years ago)
Entity Number: 4821751
ZIP code: 11367
County: Queens
Place of Formation: New York
Address: 141-08 JEWEL AVENUE, FLUSHING, NY, United States, 11367

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 141-08 JEWEL AVENUE, FLUSHING, NY, United States, 11367

National Provider Identifier

NPI Number:
1104356195

Authorized Person:

Name:
DR. BENJAMIN ZVI GRYSMAN
Role:
OWNER/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
3474028186

Filings

Filing Number Date Filed Type Effective Date
150918000175 2015-09-18 ARTICLES OF ORGANIZATION 2015-09-18

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State