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RUSSELL ANTHONY MARTIN PSYCHOTHERAPY LCSW P.C.

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Company Details

Name: RUSSELL ANTHONY MARTIN PSYCHOTHERAPY LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Dec 2021 (4 years ago)
Entity Number: 6341724
ZIP code: 10004
County: New York
Place of Formation: New York
Address: 11 broadway, suite 1158, NEW YORK, NY, United States, 10004

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 11 broadway, suite 1158, NEW YORK, NY, United States, 10004

National Provider Identifier

NPI Number:
1841943909
Certification Date:
2022-02-18

Authorized Person:

Name:
RUSSELL ANTHONY MARTIN
Role:
PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-12-03 2022-09-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-12-03 2022-10-01 Address 29 mountain trail, CROTON ON HUDSON, NY, 10520, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221001000580 2022-09-29 CERTIFICATE OF CHANGE BY ENTITY 2022-09-29
211203002715 2021-12-03 CERTIFICATE OF INCORPORATION 2021-12-03

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State