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FIRE ISLAND PINES PSYCHOTHERAPY LCSW PLLC

Company Details

Name: FIRE ISLAND PINES PSYCHOTHERAPY LCSW PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Sep 2024 (8 months ago)
Entity Number: 7415873
ZIP code: 11782
County: Suffolk
Place of Formation: New York
Address: 293 sunrise drive, SAYVILLE, NY, United States, 11782

DOS Process Agent

Name Role Address
the llc DOS Process Agent 293 sunrise drive, SAYVILLE, NY, United States, 11782

National Provider Identifier

NPI Number:
1396571667
Certification Date:
2024-09-12

Authorized Person:

Name:
MATHEW SKREZYNA-WUNSCH
Role:
FOUNDER & PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
6312039599

History

Start date End date Type Value
2024-09-10 2024-12-17 Address 293 sunrise drive, SAYVILLE, NY, 11782, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241217004224 2024-12-03 CERTIFICATE OF PUBLICATION 2024-12-03
240910002582 2024-09-09 ARTICLES OF ORGANIZATION 2024-09-09

Date of last update: 19 Mar 2025

Sources: New York Secretary of State