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ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C.

Company Details

Name: ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jul 2020 (5 years ago)
Entity Number: 5790337
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 706 BREWSTER DRIVE, PORT JEFFERSON, NY, United States, 11777

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ERIC SPRONZ DOS Process Agent 706 BREWSTER DRIVE, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1063029411
Certification Date:
2020-10-19

Authorized Person:

Name:
ERIC SPRONZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084B0040X - Behavioral Neurology & Neuropsychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0805X - Geriatric Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6317381226

Filings

Filing Number Date Filed Type Effective Date
200717000181 2020-07-17 CERTIFICATE OF INCORPORATION 2020-07-17

Date of last update: 22 Mar 2025

Sources: New York Secretary of State