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INTEGRATIVE MEDICINE PSYCHIATRY P.C.

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Company Details

Name: INTEGRATIVE MEDICINE PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Mar 2017 (8 years ago)
Entity Number: 5104589
ZIP code: 11215
County: Kings
Place of Formation: New York
Address: 397 8TH STRET, BROOKLYN, NY, United States, 11215

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O BEATA LEWIS DOS Process Agent 397 8TH STRET, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:
1063010718
Certification Date:
2023-10-17

Authorized Person:

Name:
DR. BEATA LEWIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170320000567 2017-03-20 CERTIFICATE OF INCORPORATION 2017-03-20

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State