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JEAN FATIMA RYALS NP IN PSYCHIATRY PLLC

Company Details

Name: JEAN FATIMA RYALS NP IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Jun 2024 (a year ago)
Entity Number: 7362393
ZIP code: 11570
County: Nassau
Place of Formation: New York
Address: 165 N. VILLAGE AVENUE, STE 12, ROCKVILLE CENTRE, NY, United States, 11570

Contact Details

Phone +1 516-350-8564

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 165 N. VILLAGE AVENUE, STE 12, ROCKVILLE CENTRE, NY, United States, 11570

National Provider Identifier

NPI Number:
1124863162
Certification Date:
2024-07-01

Authorized Person:

Name:
JEAN FATIMA RYALS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5168742477

Filings

Filing Number Date Filed Type Effective Date
240628000724 2024-06-26 ARTICLES OF ORGANIZATION 2024-06-26

Date of last update: 19 Mar 2025

Sources: New York Secretary of State