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MARY ANN PESTRAK NP IN PSYCHIATRY, PLLC

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Company Details

Name: MARY ANN PESTRAK NP IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Dec 2021 (4 years ago)
Entity Number: 6351907
ZIP code: 11783
County: Nassau
Place of Formation: New York
Address: 3579 wyanet street, SEAFORD, NY, United States, 11783

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 3579 wyanet street, SEAFORD, NY, United States, 11783

National Provider Identifier

NPI Number:
1568122646
Certification Date:
2021-12-30

Authorized Person:

Name:
MISS MARY ANN PESTRAK
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Fax:
5163313175

History

Start date End date Type Value
2022-03-03 2023-12-21 Address 3579 wyanet street, SEAFORD, NY, 11783, USA (Type of address: Service of Process)
2021-12-17 2022-03-03 Address 3579 wyanet street, SEAFORD, NY, 11783, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231221000151 2023-12-21 BIENNIAL STATEMENT 2023-12-21
220303003722 2022-03-03 CERTIFICATE OF PUBLICATION 2022-03-03
211217001551 2021-12-16 ARTICLES OF ORGANIZATION 2021-12-16

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State