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FRONTLINE NP IN PSYCHIATRY, PLLC

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Company Details

Name: FRONTLINE NP IN PSYCHIATRY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Aug 2024 (a year ago)
Entity Number: 7477785
ZIP code: 11203
County: Kings
Place of Formation: New York
Address: 235 east 59th st, BROOKLYN, NY, United States, 11203

DOS Process Agent

Name Role Address
the llc DOS Process Agent 235 east 59th st, BROOKLYN, NY, United States, 11203

National Provider Identifier

NPI Number:
1851191969
Certification Date:
2025-03-17

Authorized Person:

Name:
CLARA AYOZIE-RICHARDSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
241204000665 2024-08-06 ARTICLES OF ORGANIZATION 2024-08-06

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State