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JACLYN A. FARINO, NP IN ADULT HEALTH & PSYCHIATRY, PLLC

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Company Details

Name: JACLYN A. FARINO, NP IN ADULT HEALTH & PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Dec 2020 (5 years ago)
Entity Number: 5896759
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 169 COMMACK ROAD, SUITE H #352, COMMACK, NY, United States, 11725

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 169 COMMACK ROAD, SUITE H #352, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1790373504
Certification Date:
2024-01-09

Authorized Person:

Name:
JACLYN A FARINO
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2020-12-14 2022-06-15 Address 169 COMMACK ROAD, SUITE H #352, COMMACK, NY, 11725, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220615000130 2022-01-31 CERTIFICATE OF PUBLICATION 2022-01-31
201214000520 2020-12-14 ARTICLES OF ORGANIZATION 2020-12-14

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State