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IRENE SOFIA THERAPY LCSW P.C.

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Company Details

Name: IRENE SOFIA THERAPY LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Sep 2024 (10 months ago)
Entity Number: 7418035
ZIP code: 11357
County: Queens
Place of Formation: New York
Address: 166-10 powells cove blvd #8a, WHITESTONE, NY, United States, 11357

Shares Details

Shares issued 1500

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
irene koutsidis-martelli DOS Process Agent 166-10 powells cove blvd #8a, WHITESTONE, NY, United States, 11357

National Provider Identifier

NPI Number:
1306649470
Certification Date:
2025-03-31

Authorized Person:

Name:
IRENE SOFIA KOUTSIDIS-MARTELLI
Role:
SUPERVISOR/OWNER
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
240912003064 2024-09-11 CERTIFICATE OF INCORPORATION 2024-09-11

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State