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REBECCA GIBBONS, NURSE PRACTITIONER IN PSYCHIATRY PLLC

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Company Details

Name: REBECCA GIBBONS, NURSE PRACTITIONER IN PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Dec 2024 (7 months ago)
Entity Number: 7477352
ZIP code: 10528
County: Westchester
Place of Formation: New York
Address: 600 mamaroneck avenue, suite 400, HARRISON, NY, United States, 10528

DOS Process Agent

Name Role Address
the llc DOS Process Agent 600 mamaroneck avenue, suite 400, HARRISON, NY, United States, 10528

National Provider Identifier

NPI Number:
1760292460
Certification Date:
2025-01-13

Authorized Person:

Name:
REBECCA M GIBBONS
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
9142595509

Filings

Filing Number Date Filed Type Effective Date
241203004344 2024-12-03 ARTICLES OF ORGANIZATION 2024-12-03

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State