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NASSAU PSYCHIATRIC SERVICES P.C.

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Company Details

Name: NASSAU PSYCHIATRIC SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Nov 2015 (10 years ago)
Entity Number: 4850081
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NASSAU PSYCHIATRIC SERVICES, P.C. DOS Process Agent 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, United States, 11530

Chief Executive Officer

Name Role Address
MARTHA ALZAMORA, M.D. Chief Executive Officer 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1104273762

Authorized Person:

Name:
SZYMON HYZAK
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
5162809029

History

Start date End date Type Value
2017-11-02 2019-11-05 Address 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, 11530, USA (Type of address: Chief Executive Officer)
2017-11-02 2019-11-05 Address 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, 11530, USA (Type of address: Principal Executive Office)
2017-11-02 2019-11-05 Address 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
2015-11-16 2017-11-02 Address 601 FRANKLIN AVE, SUITE 120, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191105060213 2019-11-05 BIENNIAL STATEMENT 2019-11-01
171102006473 2017-11-02 BIENNIAL STATEMENT 2017-11-01
151116000373 2015-11-16 CERTIFICATE OF INCORPORATION 2015-11-16

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State