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ZACHARY B. ROSE, PSY.D., PLLC

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Company Details

Name: ZACHARY B. ROSE, PSY.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 25 Mar 2021 (4 years ago)
Entity Number: 5973191
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 1955 merrick road, suite 205a, MERRICK, NY, United States, 11566

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1955 merrick road, suite 205a, MERRICK, NY, United States, 11566

National Provider Identifier

NPI Number:
1518532365
Certification Date:
2024-08-20

Authorized Person:

Name:
DR. ZACHARY B ROSE
Role:
CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-10-03 2025-03-05 Address 1955 merrick road, suite 205a, MERRICK, NY, 11566, USA (Type of address: Service of Process)
2023-11-07 2024-10-03 Address 132 HARBOR LANE, MASSAPEQUA PARK, NY, 11762, USA (Type of address: Service of Process)
2021-03-25 2023-11-07 Address 132 HARBOR LANE, MASSAPEQUA PARK, NY, 11762, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250305000772 2025-03-05 BIENNIAL STATEMENT 2025-03-05
241003001201 2024-09-10 CERTIFICATE OF CHANGE BY ENTITY 2024-09-10
231107001133 2023-11-07 BIENNIAL STATEMENT 2023-03-01
210514000397 2021-05-14 CERTIFICATE OF PUBLICATION 2021-05-14
210325000425 2021-03-25 ARTICLES OF ORGANIZATION 2021-03-25

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State