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SOUTH SHORE N.P. PSYCHIATRY, PLLC

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Company Details

Name: SOUTH SHORE N.P. PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Mar 2021 (4 years ago)
Entity Number: 5973820
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 1786 BRIAN COURT, MERRICK, NY, United States, 11566

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1786 BRIAN COURT, MERRICK, NY, United States, 11566

National Provider Identifier

NPI Number:
1629847124

Authorized Person:

Name:
TATYANA GOYKHBERG
Role:
NP
Phone:

Taxonomy:

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

Contacts:

Fax:
5168793099

History

Start date End date Type Value
2021-03-26 2022-07-19 Address 1786 BRIAN COURT, MERRICK, NY, 11566, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220719001361 2022-03-04 CERTIFICATE OF PUBLICATION 2022-03-04
210326000133 2021-03-26 ARTICLES OF ORGANIZATION 2021-03-26

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State