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MARLENE SMALL, LCSW, P.C.

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Company Details

Name: MARLENE SMALL, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jul 2016 (9 years ago)
Entity Number: 4972650
ZIP code: 11364
County: Queens
Place of Formation: New York
Address: 212-04 75TH AVENUE APT 3N, BAYSIDE, NY, United States, 11364

Contact Details

Phone +1 337-242-7469

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 212-04 75TH AVENUE APT 3N, BAYSIDE, NY, United States, 11364

National Provider Identifier

NPI Number:
1194392027
Certification Date:
2023-07-24

Authorized Person:

Name:
MARLENE SMALL
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Fax:
5186771803
Fax:
2546134515

Filings

Filing Number Date Filed Type Effective Date
160705000373 2016-07-05 CERTIFICATE OF INCORPORATION 2016-07-05

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State