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LISA M. CASSIDY, PSYCHOLOGY, P.C.

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Company Details

Name: LISA M. CASSIDY, PSYCHOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Sep 2016 (9 years ago)
Entity Number: 5003654
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 45 KRISTIN LANE, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 45 KRISTIN LANE, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1043753874

Authorized Person:

Name:
LISA M CASSIDY
Role:
LICENSED PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160906000303 2016-09-06 CERTIFICATE OF INCORPORATION 2016-09-06

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State