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NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.

Company Details

Name: NORTH SHORE PSYCHIATRIC ASSOCIATES OF LONG ISLAND, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Oct 2019 (6 years ago)
Entity Number: 5637805
ZIP code: 11710
County: Nassau
Place of Formation: New York
Address: 2630 REBECCA STREET, BELLMORE, NY, United States, 11710

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2630 REBECCA STREET, BELLMORE, NY, United States, 11710

National Provider Identifier

NPI Number:
1467278713
Certification Date:
2024-12-02

Authorized Person:

Name:
DR. ALLISON B DEUTCH
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191015000278 2019-10-15 CERTIFICATE OF INCORPORATION 2019-10-15

Date of last update: 23 Mar 2025

Sources: New York Secretary of State