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QUEEN CITY PSYCHOLOGY PLLC

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Company Details

Name: QUEEN CITY PSYCHOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Sep 2019 (6 years ago)
Entity Number: 5627032
ZIP code: 14226
County: Erie
Place of Formation: New York
Address: 4498 Main Street, Suite 16, Amherst, NY, United States, 14226

DOS Process Agent

Name Role Address
QUEEN CITY PSYCHOLOGY PLLC DOS Process Agent 4498 Main Street, Suite 16, Amherst, NY, United States, 14226

National Provider Identifier

NPI Number:
1912545385
Certification Date:
2019-12-17

Authorized Person:

Name:
DR. AMBER MARIE DEWEY
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
7162184347

History

Start date End date Type Value
2019-09-24 2023-09-01 Address 665 MAIN STREET, BUFFALO, NY, 14203, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230901002227 2023-09-01 BIENNIAL STATEMENT 2023-09-01
220317001914 2022-03-17 BIENNIAL STATEMENT 2021-09-01
191223000174 2019-12-23 CERTIFICATE OF PUBLICATION 2019-12-23
190924000896 2019-09-24 ARTICLES OF ORGANIZATION 2019-09-24

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State