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MARIE JEAN SCHWARZ, NURSE PRACTITIONER IN PSYCHIATRY-P.C.

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Company Details

Name: MARIE JEAN SCHWARZ, NURSE PRACTITIONER IN PSYCHIATRY-P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Sep 2020 (5 years ago)
Entity Number: 5826818
ZIP code: 11702
County: Suffolk
Place of Formation: New York
Address: 133 EAST MAIN STREET, SUITE 3H, BABYLON, NY, United States, 11702

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 133 EAST MAIN STREET, SUITE 3H, BABYLON, NY, United States, 11702

National Provider Identifier

NPI Number:
1407455967
Certification Date:
2020-12-09

Authorized Person:

Name:
MARIE JEAN SCHWARZ
Role:
NURSE PRACTITIONER OF PSYCHIATRY
Phone:

Taxonomy:

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

Contacts:

Fax:
6313211501

Filings

Filing Number Date Filed Type Effective Date
200902000457 2020-09-02 CERTIFICATE OF INCORPORATION 2020-09-02

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State