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ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC

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Company Details

Name: ENVISION PSYCHIATRIC NURSE PRACTITIONER PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Jul 2022 (3 years ago)
Entity Number: 6538458
ZIP code: 11581
County: Queens
Place of Formation: New York
Address: 70 East Sunrise hwy, Suite 500, Valley stream, NY, United States, 11581

DOS Process Agent

Name Role Address
ENVISION PSYCHIATRIC NURSE PRACTITIONER, PLLC DOS Process Agent 70 East Sunrise hwy, Suite 500, Valley stream, NY, United States, 11581

National Provider Identifier

NPI Number:
1093433898
Certification Date:
2022-08-17

Authorized Person:

Name:
MS. TAMARA GORDON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7187194217

History

Start date End date Type Value
2023-08-21 2024-09-26 Address 140-30 248th street, ROSEDALE, NY, 11422, USA (Type of address: Service of Process)
2022-07-17 2023-08-21 Address 140-30 248th street, ROSEDALE, NY, 11422, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240926001946 2024-09-26 BIENNIAL STATEMENT 2024-09-26
230821004021 2023-07-08 CERTIFICATE OF PUBLICATION 2023-07-08
220717000383 2022-07-15 ARTICLES OF ORGANIZATION 2022-07-15

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State