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ILLUMINATE NP PSYCHIATRY, PLLC

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Company Details

Name: ILLUMINATE NP PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Oct 2020 (5 years ago)
Entity Number: 5860850
ZIP code: 14215
County: Erie
Place of Formation: New York
Address: 337 cleveland drive, suite 1, cheektowaga, NY, United States, 14215

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 337 cleveland drive, suite 1, cheektowaga, NY, United States, 14215

National Provider Identifier

NPI Number:
1003671009
Certification Date:
2024-02-19

Authorized Person:

Name:
AMY KOTARSKI
Role:
OWNER/PSYCHIATRIC NURSE PRACTITIONE
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2020-10-20 2021-12-22 Address 30 SOUTH CAYUGA ROAD, SUITE 106, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211222001570 2021-12-22 CERTIFICATE OF CHANGE BY ENTITY 2021-12-22
210601000962 2021-06-01 CERTIFICATE OF PUBLICATION 2021-06-01
201020000482 2020-10-20 ARTICLES OF ORGANIZATION 2020-10-20

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State