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EC PSYCHIATRIC NURSE PRACTITIONER PLLC

Company Details

Name: EC PSYCHIATRIC NURSE PRACTITIONER PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Nov 2022 (3 years ago)
Entity Number: 6633025
ZIP code: 07430
County: Kings
Place of Formation: New York
Address: 115 franklin turnpike, po box 168, MAHWAH, NJ, United States, 07430

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 115 franklin turnpike, po box 168, MAHWAH, NJ, United States, 07430

National Provider Identifier

NPI Number:
1790483766
Certification Date:
2023-02-20

Authorized Person:

Name:
EDNER CUVILLY
Role:
NURSE PRACTITIONER PSYCHIATRY
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-01-26 2023-01-30 Address 115 franklin turnpike, po box 168, MAHWAH, NJ, 07430, USA (Type of address: Service of Process)
2022-11-02 2023-01-26 Address 115 franklin turnpike, po box 168, MAHWAH, NJ, 07430, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230130000923 2023-01-30 CERTIFICATE OF CHANGE BY ENTITY 2023-01-30
230126000076 2023-01-25 CERTIFICATE OF PUBLICATION 2023-01-25
221102000807 2022-11-01 ARTICLES OF ORGANIZATION 2022-11-01

Date of last update: 21 Mar 2025

Sources: New York Secretary of State