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CLARK NP IN PSYCHIATRY SERVICES P.C.

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Company Details

Name: CLARK NP IN PSYCHIATRY SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 May 2025 (3 months ago)
Entity Number: 7616065
County: New York
Place of Formation: New York

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role
CLARK NP IN PSYCHIATRY SERVICES P.C. DOS Process Agent

National Provider Identifier

NPI Number:
1689564924
Certification Date:
2025-06-23

Authorized Person:

Name:
SHALITA R CLARK
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
250520001698 2025-05-19 CERTIFICATE OF INCORPORATION 2025-05-19

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Date of last update: 22 May 2025

Sources: New York Secretary of State