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EVERGREEN CLINICAL SERVICES LLC

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Company Details

Name: EVERGREEN CLINICAL SERVICES LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Oct 2024 (8 months ago)
Entity Number: 7452835
ZIP code: 10026
County: New York
Place of Formation: New York
Address: 444 Manhattan Avenue 6K, New York, NY, United States, 10026

DOS Process Agent

Name Role Address
Boris Ingberg DOS Process Agent 444 Manhattan Avenue 6K, New York, NY, United States, 10026

National Provider Identifier

NPI Number:
1073338067
Certification Date:
2024-12-02

Authorized Person:

Name:
BORIS INGBERG
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241029004261 2024-10-29 ARTICLES OF ORGANIZATION 2024-10-29

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State