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NURSE PRACTITIONER IN PSYCHIATRY, PLLC

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Company Details

Name: NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Mar 2021 (4 years ago)
Entity Number: 5964497
ZIP code: 10475
County: Bronx
Place of Formation: New York
Address: 2400 HUNTER AVENUE, SUITE 13-C, BRONX, NY, United States, 10475

Contact Details

Phone +1 315-723-6031

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2400 HUNTER AVENUE, SUITE 13-C, BRONX, NY, United States, 10475

National Provider Identifier

NPI Number:
1730610510

Authorized Person:

Name:
MR. ROBERT SHARPE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
3155075823

Filings

Filing Number Date Filed Type Effective Date
210316000428 2021-03-16 ARTICLES OF ORGANIZATION 2021-03-16

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State