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CHILDREN ADOLESCENT AND ADULTS: NP IN PSYCHIATRY, PLLC

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Company Details

Name: CHILDREN ADOLESCENT AND ADULTS: NP IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Dec 2023 (2 years ago)
Entity Number: 7207300
ZIP code: 13850
County: Broome
Place of Formation: New York
Address: 120 plaza drive #f, VESTAL, NY, United States, 13850

DOS Process Agent

Name Role Address
the llc DOS Process Agent 120 plaza drive #f, VESTAL, NY, United States, 13850

National Provider Identifier

NPI Number:
1275398638
Certification Date:
2024-08-01

Authorized Person:

Name:
ANISSA SALERNO
Role:
OWNER OF ENTITY
Phone:

Taxonomy:

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

Contacts:

Fax:
5704108110

History

Start date End date Type Value
2023-12-18 2024-02-21 Address 120 plaza drive #f, VESTAL, NY, 13850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240221002561 2024-02-20 CERTIFICATE OF PUBLICATION 2024-02-20
231218000438 2023-12-15 ARTICLES OF ORGANIZATION 2023-12-15

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State