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VICTORY NP IN PSYCHIATRY, P.C.

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Company Details

Name: VICTORY NP IN PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Mar 2016 (9 years ago)
Entity Number: 4920812
ZIP code: 10469
County: Bronx
Place of Formation: New York
Address: 2962 WICKHAM AVENUE, BRONX, NY, United States, 10469

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2962 WICKHAM AVENUE, BRONX, NY, United States, 10469

National Provider Identifier

NPI Number:
1093178428

Authorized Person:

Name:
MR. GODWIN MCMUKORO OKPOMO SR.
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160329000549 2016-03-29 CERTIFICATE OF INCORPORATION 2016-03-29

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State