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THOMAS E. CONWAY, LCSW, P.C.

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Company Details

Name: THOMAS E. CONWAY, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Oct 2015 (10 years ago)
Entity Number: 4842410
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 1050 WEST JERICHO TURRNPIKE, SUITE B, SMITHTOWN, NY, United States, 11787

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1050 WEST JERICHO TURRNPIKE, SUITE B, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1104282110

Authorized Person:

Name:
THOMAS E. CONWAY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
6318642779

Filings

Filing Number Date Filed Type Effective Date
151030000072 2015-10-30 CERTIFICATE OF INCORPORATION 2015-10-30

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State