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KINGS COUNTY NP IN PSYCHIATRY PLLC

Company Details

Name: KINGS COUNTY NP IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jun 2024 (a year ago)
Entity Number: 7406172
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 9 paerdegat 14th st, BROOKLYN, NY, United States, 11236

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 9 paerdegat 14th st, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1962236562
Certification Date:
2024-08-27

Authorized Person:

Name:
KEMI ABDUL
Role:
PROVIDER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240827003476 2024-06-21 ARTICLES OF ORGANIZATION 2024-06-21

Date of last update: 19 Mar 2025

Sources: New York Secretary of State