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DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY P.C.

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Company Details

Name: DAWN MICHAEL NURSE PRACTITIONER IN PSYCHIATRY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jan 2024 (2 years ago)
Entity Number: 7226039
ZIP code: 11542
County: Nassau
Place of Formation: New York
Address: 5 brewster st., GLEN COVE, NY, United States, 11542

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 5 brewster st., GLEN COVE, NY, United States, 11542

National Provider Identifier

NPI Number:
1255155743
Certification Date:
2024-11-11

Authorized Person:

Name:
DAWN MICHAEL
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240111000758 2024-01-10 CERTIFICATE OF INCORPORATION 2024-01-10

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State