Search icon

PECONIC WELLNESS NP-PSYCHIATRY SERVICES PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: PECONIC WELLNESS NP-PSYCHIATRY SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Apr 2019 (6 years ago)
Entity Number: 5533327
ZIP code: 11946
County: Suffolk
Place of Formation: New York
Address: 15 WEST MONTAUK HIGHWAY,, STE. 232, HAMPTON BAYS, NY, United States, 11946

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 15 WEST MONTAUK HIGHWAY,, STE. 232, HAMPTON BAYS, NY, United States, 11946

National Provider Identifier

NPI Number:
1548989429
Certification Date:
2022-11-14

Authorized Person:

Name:
LAUREN ALLISON HERTWIG
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190731000294 2019-07-31 CERTIFICATE OF CHANGE 2019-07-31
190702000400 2019-07-02 CERTIFICATE OF PUBLICATION 2019-07-02
190425000635 2019-04-25 CERTIFICATE OF CHANGE 2019-04-25
190412000567 2019-04-12 ARTICLES OF ORGANIZATION 2019-04-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 Mar 2025

Sources: New York Secretary of State