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FONTANETTA NEUROPSYCHOLOGY PLLC

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Company Details

Name: FONTANETTA NEUROPSYCHOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Nov 2017 (8 years ago)
Entity Number: 5241215
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 47 CEDAR VALLEY LANE, HUNTINGTON, NY, United States, 11743

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 47 CEDAR VALLEY LANE, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1902430200
Certification Date:
2020-02-25

Authorized Person:

Name:
DR. REBECCA A FONTANETTA
Role:
CLINICAL NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QD1600X - Developmental Disabilities Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
171128000328 2017-11-28 ARTICLES OF ORGANIZATION 2017-11-28

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State