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LELAND W. PETERSEN, PSYCHOLOGIST, P.C.

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Company Details

Name: LELAND W. PETERSEN, PSYCHOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 Jan 1982 (43 years ago)
Date of dissolution: 12 Apr 2023
Entity Number: 748866
ZIP code: 10022
County: Nassau
Place of Formation: New York
Address: 850 THIRD AVE., 20TH FL., NEW YORK, NY, United States, 10022

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LELAND W. PETERSEN, PSYCHOLOGIST, P.C. DOS Process Agent 850 THIRD AVE., 20TH FL., NEW YORK, NY, United States, 10022

National Provider Identifier

NPI Number:
1083831408

Authorized Person:

Name:
DR. LELAND WALTER PETERSEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-04-12 2023-09-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1982-01-29 2023-04-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1982-01-29 2023-04-12 Address 850 THIRD AVE., 20TH FL., NEW YORK, NY, 10022, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230412003167 2023-04-12 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-04-12
A836958-4 1982-01-29 CERTIFICATE OF INCORPORATION 1982-01-29

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State