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NEW YORK STATE NEUROPSYCHOLOGICAL STATE OF MIND P.C.

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Company Details

Name: NEW YORK STATE NEUROPSYCHOLOGICAL STATE OF MIND P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 2017 (8 years ago)
Entity Number: 5227429
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 114-20 QUEENS BOULEVARD, SUIE C52, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 114-20 QUEENS BOULEVARD, SUIE C52, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1013414705

Authorized Person:

Name:
SANAM HAFEEZ
Role:
PSY.D
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
7188052054

Filings

Filing Number Date Filed Type Effective Date
171101000124 2017-11-01 CERTIFICATE OF INCORPORATION 2017-11-01

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State