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MADISON AVENUE PSYCHIATRY, PLLC

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Company Details

Name: MADISON AVENUE PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Feb 2020 (5 years ago)
Entity Number: 5712477
ZIP code: 10001
County: New York
Place of Formation: New York
Address: 276 5TH AVENUE, #307A, NEW YORK, NY, United States, 10001

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 276 5TH AVENUE, #307A, NEW YORK, NY, United States, 10001

National Provider Identifier

NPI Number:
1649894395
Certification Date:
2024-07-02

Authorized Person:

Name:
DR. AMANDA ITZKOFF
Role:
CMO
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
844982558
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200506000171 2020-05-06 CERTIFICATE OF PUBLICATION 2020-05-06
200220000426 2020-02-20 ARTICLES OF ORGANIZATION 2020-02-20

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State