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NY BEHAVIORAL HEALTH MEDICAL SERVICES P.C.

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Company Details

Name: NY BEHAVIORAL HEALTH MEDICAL SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Oct 2019 (6 years ago)
Entity Number: 5640479
ZIP code: 11581
County: Nassau
Place of Formation: New York
Address: 1039 LAWRENCE CT., VALLEY STREAM, NY, United States, 11581

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1039 LAWRENCE CT., VALLEY STREAM, NY, United States, 11581

National Provider Identifier

NPI Number:
1295485480
Certification Date:
2023-03-16

Authorized Person:

Name:
DR. MANSI SHAH SINGH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9144126197

Filings

Filing Number Date Filed Type Effective Date
191018000129 2019-10-18 CERTIFICATE OF INCORPORATION 2019-10-18

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State