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JEREMY WALSH NP IN PSYCHIATRY PLLC

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Company Details

Name: JEREMY WALSH NP IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 May 2024 (a year ago)
Entity Number: 7332368
ZIP code: 12207
County: Albany
Place of Formation: New York
Address: 418 broadway #5474, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
jeremy walsh DOS Process Agent 418 broadway #5474, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1417755604
Certification Date:
2025-03-04

Authorized Person:

Name:
JEREMY WALSH
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
9172777399

History

Start date End date Type Value
2024-07-26 2025-06-09 Address 418 broadway #5474, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2024-05-20 2024-07-26 Address 418 broadway #5474, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250609001363 2025-06-03 CERTIFICATE OF CHANGE BY ENTITY 2025-06-03
240726000224 2024-07-25 CERTIFICATE OF PUBLICATION 2024-07-25
240520001804 2024-05-17 ARTICLES OF ORGANIZATION 2024-05-17

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State