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ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH P.C.

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Company Details

Name: ELLEN KUDROW NP IN PSYCHIATRY AND NP IN FAMILY HEALTH P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jan 2023 (3 years ago)
Entity Number: 6708928
ZIP code: 11224
County: Kings
Place of Formation: New York
Address: 501 surf ave apt 2k, BROOKLYN, NY, United States, 11224

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 501 surf ave apt 2k, BROOKLYN, NY, United States, 11224

National Provider Identifier

NPI Number:
1548955586
Certification Date:
2023-05-23

Authorized Person:

Name:
MR. DAVID SHLEM
Role:
BILLING
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
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 2025-07-14 Address 501 surf ave apt 2k, BROOKLYN, NY, 11224, USA (Type of address: Service of Process)
2023-01-24 2025-07-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250714002746 2025-07-14 BIENNIAL STATEMENT 2025-07-14
230126000331 2023-01-24 CERTIFICATE OF INCORPORATION 2023-01-24

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State