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NORTH SHORE PSYCHIATRIC NP, PLLC

Company Details

Name: NORTH SHORE PSYCHIATRIC NP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Jun 2022 (3 years ago)
Entity Number: 6505010
ZIP code: 11576
County: Nassau
Place of Formation: New York
Address: 41 THELMA STREET, ROSLYN, NY, United States, 11576

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 41 THELMA STREET, ROSLYN, NY, United States, 11576

National Provider Identifier

NPI Number:
1336875756
Certification Date:
2022-07-27

Authorized Person:

Name:
MS. MARA WEINBERG
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220606002109 2022-06-06 ARTICLES OF ORGANIZATION 2022-06-06

Date of last update: 21 Mar 2025

Sources: New York Secretary of State