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SKANEATELES PSYCHIATRY, PLLC

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Company Details

Name: SKANEATELES PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Aug 2019 (6 years ago)
Entity Number: 5606235
ZIP code: 13152
County: Onondaga
Place of Formation: New York
Address: 4361 JORDAN ROAD, SKANEATELES, NY, United States, 13152

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 4361 JORDAN ROAD, SKANEATELES, NY, United States, 13152

National Provider Identifier

NPI Number:
1306450416
Certification Date:
2020-09-04

Authorized Person:

Name:
DR. OLUMUYIWA GAY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
843421153
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2019-08-19 2019-09-24 Address 7 FENNELL STREET, LOWER LEVEL, SKANEATELES, NY, 13152, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191223000004 2019-12-23 CERTIFICATE OF PUBLICATION 2019-12-23
190924000895 2019-09-24 CERTIFICATE OF CHANGE 2019-09-24
190819000461 2019-08-19 ARTICLES OF ORGANIZATION 2019-08-19

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State