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MIND OVER MATTER NP IN PSYCHIATRY AND FAMILY HEALTH P.C.

Company Details

Name: MIND OVER MATTER NP IN PSYCHIATRY AND FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Mar 2021 (4 years ago)
Entity Number: 5953727
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: 47 STUART DR., SYOSSET, NY, United States, 11791

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 47 STUART DR., SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1588249114
Certification Date:
2021-03-13

Authorized Person:

Name:
ALEXANDER IVAN GUMBS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210303000066 2021-03-03 CERTIFICATE OF INCORPORATION 2021-03-03

Date of last update: 22 Mar 2025

Sources: New York Secretary of State