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This form is required for professional practice entities such as PC, DPC, and PLLC to submit their contact information to the New York State Education Department\'s Office of the Professions. It includes details about the entity, contact person, and the nature of the professional practice. Timely submission is important to avoid delays in the application review process.
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How to fill out professional practice entity contact

01
Obtain the official form for the professional practice entity contact.
02
Read the instructions carefully to understand the requirements.
03
Fill in the entity's name in the designated field.
04
Provide accurate contact details, including phone number, email, and address.
05
Include the type of professional practice entity (e.g., LLC, corporation).
06
List the primary contact person and their position within the entity.
07
Review all the entered information for accuracy and completeness.
08
Sign and date the form where required.
09
Submit the completed form through the designated method (online, mail, or in person).

Who needs professional practice entity contact?

01
Healthcare professionals establishing a practice.
02
Legal practitioners forming a law firm.
03
Businesses seeking to comply with licensing regulations.
04
Contractors in need of official contact registration.
05
Educational institutions establishing professional training programs.
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Professional practice entity contact refers to the information and details submitted by a professional service entity, such as a law firm or accounting firm, to establish its registered contact for regulatory and administrative purposes.
Any professional practice entity providing regulated services, such as legal, accounting, or medical services, is required to file professional practice entity contact.
To fill out the professional practice entity contact form, include entity name, registration number, address, primary contact person, and contact details such as phone number and email.
The purpose of the professional practice entity contact is to ensure that regulators have up-to-date contact information for professional services entities for communication and compliance purposes.
The information that must be reported includes the entity's name, registration details, address, primary contact person, their phone number, and email address.
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