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PEACEFUL MIND NURSE PRACTITIONER IN PSYCHIATRY P.C.

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Company Details

Name: PEACEFUL MIND NURSE PRACTITIONER IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Mar 2021 (4 years ago)
Entity Number: 5959006
ZIP code: 11703
County: Suffolk
Place of Formation: New York
Address: 1488 DEER PARK AVENUE, #357, N. BABYLON, NY, United States, 11703

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1488 DEER PARK AVENUE, #357, N. BABYLON, NY, United States, 11703

National Provider Identifier

NPI Number:
1649046467
Certification Date:
2023-12-01

Authorized Person:

Name:
SAKINA STARR HAYDEN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210309000545 2021-03-09 CERTIFICATE OF INCORPORATION 2021-03-09

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State