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THERETHA GILBERT, N.P. IN PSYCHIATRY, P.C.

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Company Details

Name: THERETHA GILBERT, N.P. IN PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Dec 2017 (8 years ago)
Entity Number: 5245297
ZIP code: 11701
County: Suffolk
Place of Formation: New York
Address: P.O. BOX 1025, AMITYVILLE, NY, United States, 11701

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 1025, AMITYVILLE, NY, United States, 11701

National Provider Identifier

NPI Number:
1124706320
Certification Date:
2023-07-07

Authorized Person:

Name:
THERETHA GILBERT
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
2313105299

Filings

Filing Number Date Filed Type Effective Date
171205000378 2017-12-05 CERTIFICATE OF INCORPORATION 2017-12-05

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State