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RUSSOM PSYCHIATRY PLLC

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Company Details

Name: RUSSOM PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Mar 2025 (3 months ago)
Entity Number: 7563442
County: New York
Place of Formation: New York

DOS Process Agent

Name Role
RUSSOM PSYCHIATRY PLLC DOS Process Agent

National Provider Identifier

NPI Number:
1295521235
Certification Date:
2025-04-16

Authorized Person:

Name:
ELSA RUSSOM
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250319002877 2025-03-19 ARTICLES OF ORGANIZATION 2025-03-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State