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THAO NGUYEN, NURSE PRACTITIONER IN PSYCHIATRY, P.C.

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Company Details

Name: THAO NGUYEN, NURSE PRACTITIONER IN PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Oct 2019 (6 years ago)
Entity Number: 5644930
ZIP code: 11741
County: Suffolk
Place of Formation: New York
Address: 1106 SADDLE ROCK ROAD, HOLBROOK, NY, United States, 11741

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1106 SADDLE ROCK ROAD, HOLBROOK, NY, United States, 11741

National Provider Identifier

NPI Number:
1992320725
Certification Date:
2023-11-07

Authorized Person:

Name:
THAO NGUYEN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6313186443

Filings

Filing Number Date Filed Type Effective Date
191025000563 2019-10-25 CERTIFICATE OF INCORPORATION 2019-10-25

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State