| Name: | MICHAEL L. NISSENBAUM, PH.D., PSYCHOLOGIST, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 22 Jun 1995 (29 years ago) |
| Entity Number: | 1933283 |
| ZIP code: | 11720 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2100 MIDDLE COUNTRY RD, STE 28 W, CENTEREACH, NY, United States, 11720 |
| Principal Address: | PO BOX 625, 2100 MIDDLE COUNTRY RD, CENTEREACH, NY, United States, 11720 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 2100 MIDDLE COUNTRY RD, STE 28 W, CENTEREACH, NY, United States, 11720 |
| Name | Role | Address |
|---|---|---|
| MICHAEL L NISSENBAUM PHD | Chief Executive Officer | 2100 MIDDLE COUNTRY RD, STE 28 W PO BOX 625, CENTEREACH, NY, United States, 11720 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1999-06-30 | 2003-06-17 | Address | 2100 MIDDLE COUNTRY RD, STE 28 WEST, CENTEREACH, NY, 11720, USA (Type of address: Chief Executive Officer) |
| 1999-06-30 | 2003-06-17 | Address | 2100 MIDDLE COUNTRY RD, STE 28 WEST, CENTEREACH, NY, 11720, USA (Type of address: Principal Executive Office) |
| 1998-08-24 | 2003-06-17 | Address | 2100 MIDDLE COUNTRY ROAD, SUITE 28W, CENTEREACH, NY, 11720, USA (Type of address: Service of Process) |
| 1997-07-29 | 1999-06-30 | Address | 601 PORTION ROAD, SUITE 208, LAKE RONKONKOMA, NY, 11779, USA (Type of address: Chief Executive Officer) |
| 1997-07-29 | 1999-06-30 | Address | 601 PORTION ROAD, SUITE 208, LAKE RONKONKOMA, NY, 11779, USA (Type of address: Principal Executive Office) |
| 1995-06-22 | 1998-08-24 | Address | SUITE 208, 601 PORTION ROAD, LAKE RONKONKOMA, NY, 11779, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 050728002398 | 2005-07-28 | BIENNIAL STATEMENT | 2005-06-01 |
| 030617002299 | 2003-06-17 | BIENNIAL STATEMENT | 2003-06-01 |
| 010619002612 | 2001-06-19 | BIENNIAL STATEMENT | 2001-06-01 |
| 990630002150 | 1999-06-30 | BIENNIAL STATEMENT | 1999-06-01 |
| 980824000239 | 1998-08-24 | CERTIFICATE OF CHANGE | 1998-08-24 |
| 970729002253 | 1997-07-29 | BIENNIAL STATEMENT | 1997-06-01 |
| 950622000288 | 1995-06-22 | CERTIFICATE OF INCORPORATION | 1995-06-22 |
Date of last update: 13 Nov 2024
Sources: New York Secretary of State
