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RESILIENCE MEDICAL SERVICES

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Company Details

Name: RESILIENCE MEDICAL SERVICES
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Sep 2022 (3 years ago)
Entity Number: 6601680
ZIP code: 10005
County: New York
Place of Formation: New Jersey
Foreign Legal Name: RESILIENCE MEDICAL, P.C.
Fictitious Name: RESILIENCE MEDICAL SERVICES
Address: 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

National Provider Identifier

NPI Number:
1558191320
Certification Date:
2024-08-05

Authorized Person:

Name:
CHRISTINE CARVILLE
Role:
CO-FOUNDER AND CCO
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0802X - Addiction Psychiatry Physician
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220930018326 2022-09-28 APPLICATION OF AUTHORITY 2022-09-28

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State