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KO PSYCHIATRIC NP P.C.

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Company Details

Name: KO PSYCHIATRIC NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Feb 2022 (3 years ago)
Entity Number: 6412651
ZIP code: 10306
County: Richmond
Place of Formation: New York
Address: 262 ARDSLEY ST., STATEN ISLAND, NY, United States, 10306

Contact Details

Phone +1 718-462-8100

Phone +1 917-553-4040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 262 ARDSLEY ST., STATEN ISLAND, NY, United States, 10306

National Provider Identifier

NPI Number:
1912649377
Certification Date:
2022-04-07

Authorized Person:

Name:
KIRA OPPENHEIM
Role:
NP
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220224000731 2022-02-23 CERTIFICATE OF INCORPORATION 2022-02-23

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State