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LW NP PSYCHIATRY P.C.

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Company Details

Name: LW NP PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Oct 2022 (3 years ago)
Entity Number: 6607351
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 154 norfolk st, BROOKLYN, NY, United States, 11235

Contact Details

Phone +1 929-489-3428

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
lw np psychiatry p.c. DOS Process Agent 154 norfolk st, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1417637042
Certification Date:
2023-12-04

Authorized Person:

Name:
LAVERN WILSON-DENNIS
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221004000261 2022-10-03 CERTIFICATE OF INCORPORATION 2022-10-03

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State