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DAWN PERISA PSYCHIATRY NP, P.C.

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Company Details

Name: DAWN PERISA PSYCHIATRY NP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 2021 (4 years ago)
Entity Number: 5965129
ZIP code: 11731
County: Suffolk
Place of Formation: New York
Address: 36 HARLEY AVE, EAST NORTHPORT, NY, United States, 11731

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 36 HARLEY AVE, EAST NORTHPORT, NY, United States, 11731

National Provider Identifier

NPI Number:
1811573736
Certification Date:
2023-10-26

Authorized Person:

Name:
DAWN J PERISA
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6312664503

History

Start date End date Type Value
2021-09-28 2023-07-14 Address 36 HARLEY AVE, EAST NORTHPORT, NY, 11731, USA (Type of address: Service of Process)
2021-09-27 2023-07-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-03-17 2021-09-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-03-17 2021-09-28 Address 3 GREENLEAF DR, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230714002788 2023-07-13 CERTIFICATE OF AMENDMENT 2023-07-13
210928000366 2021-09-27 CERTIFICATE OF CHANGE BY ENTITY 2021-09-27
210317000026 2021-03-17 CERTIFICATE OF INCORPORATION 2021-03-17

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State