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SANDRA BOEBEL, PSYCHIATRIC NP, PLLC

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Company Details

Name: SANDRA BOEBEL, PSYCHIATRIC NP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Mar 2017 (8 years ago)
Entity Number: 5106596
ZIP code: 14564
County: Ontario
Place of Formation: New York
Address: 7353 NY-96, VICTOR, NY, United States, 14564

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 7353 NY-96, VICTOR, NY, United States, 14564

National Provider Identifier

NPI Number:
1184279838
Certification Date:
2019-12-30

Authorized Person:

Name:
SANDRA BOEBEL
Role:
NP
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171012000260 2017-10-12 CERTIFICATE OF PUBLICATION 2017-10-12
170322000480 2017-03-22 ARTICLES OF ORGANIZATION 2017-03-22

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State