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DR. JUSTINE M. KOO, PSYCHOLOGIST P.C.

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Company Details

Name: DR. JUSTINE M. KOO, PSYCHOLOGIST P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Apr 2023 (2 years ago)
Entity Number: 6808477
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 260 w. main street, #14, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corproation DOS Process Agent 260 w. main street, #14, BAY SHORE, NY, United States, 11706

National Provider Identifier

NPI Number:
1427741057
Certification Date:
2023-05-30

Authorized Person:

Name:
DR. JUSTINE MARIE KOO
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230426001339 2023-04-25 CERTIFICATE OF INCORPORATION 2023-04-25

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State