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LONG ISLAND CHILD & ADOLESCENT PSYCHIATRY, P.C.

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Company Details

Name: LONG ISLAND CHILD & ADOLESCENT PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Oct 2019 (6 years ago)
Entity Number: 5645699
ZIP code: 11733
County: Suffolk
Place of Formation: New York
Address: 40 VARSITY BOULEVARD, EAST SETAUKET, NY, United States, 11733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 40 VARSITY BOULEVARD, EAST SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:
1598397044
Certification Date:
2020-02-12

Authorized Person:

Name:
DR. DAVID M MARGULIES
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6313649379

Filings

Filing Number Date Filed Type Effective Date
191028000757 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