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KEVIN OBI NP IN PSYCHIATRY PLLC

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Company Details

Name: KEVIN OBI NP IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jan 2022 (3 years ago)
Entity Number: 6391501
ZIP code: 10466
County: Bronx
Place of Formation: New York
Address: 4377 bronx boulevard, BRONX, NY, United States, 10466

Contact Details

Phone +1 973-342-5593

DOS Process Agent

Name Role Address
KEVIN OBI NP IN PSYCHIATRY PLLC DOS Process Agent 4377 bronx boulevard, BRONX, NY, United States, 10466

National Provider Identifier

NPI Number:
1639823412
Certification Date:
2024-02-29

Authorized Person:

Name:
MR. KEVIN OBI
Role:
NURSE PRACTITIONER IN PSYCHIATRY
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6464908780

History

Start date End date Type Value
2022-05-02 2024-02-02 Address 4377 bronx boulevard, BRONX, NY, 10466, USA (Type of address: Service of Process)
2022-02-01 2022-05-02 Address 4377 bronx boulevard, BRONX, NY, 10466, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240202002458 2024-02-02 BIENNIAL STATEMENT 2024-02-02
220502003800 2022-05-02 CERTIFICATE OF PUBLICATION 2022-05-02
220201000112 2022-01-28 ARTICLES OF ORGANIZATION 2022-02-01

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State