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TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES, P.C.

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Company Details

Name: TELA-NP IN ADULT HEALTH AND PSYCHIATRIC SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Oct 2019 (6 years ago)
Entity Number: 5645677
ZIP code: 10302
County: Richmond
Place of Formation: New York
Address: 198 WILLOWBROOK RD, STATEN ISLAND, NY, United States, 10302

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 198 WILLOWBROOK RD, STATEN ISLAND, NY, United States, 10302

National Provider Identifier

NPI Number:
1831733120
Certification Date:
2020-07-13

Authorized Person:

Name:
MELISSA MADALONE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191028000744 2019-10-28 CERTIFICATE OF INCORPORATION 2019-10-28

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State