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LESLEY ROTHSCHILD, NURSE PRACTITIONER, PSYCHIATRY P.C.

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Company Details

Name: LESLEY ROTHSCHILD, NURSE PRACTITIONER, PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 2022 (3 years ago)
Entity Number: 6452369
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 75 prospect st, ste 207, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp DOS Process Agent 75 prospect st, ste 207, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1760126031
Certification Date:
2022-04-23

Authorized Person:

Name:
LESLEY ROTHSCHILD
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5165975659

Filings

Filing Number Date Filed Type Effective Date
220407000197 2022-04-06 CERTIFICATE OF INCORPORATION 2022-04-06

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State