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ROD AMAZAN PSYCHIATRY NP, P.C.

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Company Details

Name: ROD AMAZAN PSYCHIATRY NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Dec 2020 (5 years ago)
Entity Number: 5892792
ZIP code: 10453
County: Bronx
Place of Formation: New York
Address: 1985 SEDWICK AVE, 6F, BRONX, NY, United States, 10453

Contact Details

Phone +1 845-499-6974

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1985 SEDWICK AVE, 6F, BRONX, NY, United States, 10453

National Provider Identifier

NPI Number:
1376130542
Certification Date:
2020-12-22

Authorized Person:

Name:
ROD AMAZAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
201208000474 2020-12-08 CERTIFICATE OF INCORPORATION 2020-12-08

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State