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SMILE PSYCHIATRIC NURSE PRACTITIONER P.C.

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Company Details

Name: SMILE PSYCHIATRIC NURSE PRACTITIONER P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Aug 2021 (4 years ago)
Entity Number: 6263059
ZIP code: 11364
County: Queens
Place of Formation: New York
Address: 5832 210th st, OAKLAND GARDENS, NY, United States, 11364

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 5832 210th st, OAKLAND GARDENS, NY, United States, 11364

National Provider Identifier

NPI Number:
1285303792
Certification Date:
2023-01-07

Authorized Person:

Name:
YOUNJEA LEE
Role:
PMHNP/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210820000757 2021-08-19 CERTIFICATE OF INCORPORATION 2021-08-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State