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SA BOONE NP IN PSYCHIATRY, PLLC

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Company Details

Name: SA BOONE NP IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Feb 2024 (a year ago)
Entity Number: 7249704
ZIP code: 12207
County: Nassau
Place of Formation: New York
Address: 418 BROADWAY, STE R, ALBANY, NY, United States, 12207

Contact Details

Phone +1 516-629-2269

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 418 BROADWAY, STE R, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1447016738
Certification Date:
2024-02-17

Authorized Person:

Name:
SHANEQUA A BOONE
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-02-08 2024-07-10 Address 418 BROADWAY, STE R, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240710002799 2024-06-26 CERTIFICATE OF PUBLICATION 2024-06-26
240208000922 2024-02-07 ARTICLES OF ORGANIZATION 2024-02-07

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State