Search icon

BRIAN Y. CHANGLAI, M.D., P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: BRIAN Y. CHANGLAI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jun 1986 (39 years ago)
Entity Number: 1087004
ZIP code: 13104
County: Onondaga
Place of Formation: New York
Address: 4921 BRIARWOOD LANE, MANLIUS, NY, United States, 13104

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BRIAN Y CHANGLAI, MD Chief Executive Officer 4921 BRIARWOOD LANE, MANLIUS, NY, United States, 13104

DOS Process Agent

Name Role Address
BRAIN Y. CHANGLAI, M.D. DOS Process Agent 4921 BRIARWOOD LANE, MANLIUS, NY, United States, 13104

National Provider Identifier

NPI Number:
1669455838

Authorized Person:

Name:
BRIAN YISHING CHANGLAI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3154925855

History

Start date End date Type Value
2002-05-21 2008-06-10 Address 4921 BRIARWOOD LANE, MANLIUS, NY, 13104, USA (Type of address: Chief Executive Officer)
1993-01-22 2002-05-21 Address 4921 BRIARWOOD LANE, MANLIUS, NY, 13104, USA (Type of address: Chief Executive Officer)
1993-01-22 2008-06-10 Address 4921 BRIARWOOD LANE, MANLIUS, NY, 13104, USA (Type of address: Principal Executive Office)
1986-06-02 1993-01-22 Address COMMUNITY HOSPITAL, PHYSICIANS BLDG., SYRACUSE, NY, 13215, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200603061056 2020-06-03 BIENNIAL STATEMENT 2020-06-01
180604008805 2018-06-04 BIENNIAL STATEMENT 2018-06-01
160606007352 2016-06-06 BIENNIAL STATEMENT 2016-06-01
120605006015 2012-06-05 BIENNIAL STATEMENT 2012-06-01
100614002499 2010-06-14 BIENNIAL STATEMENT 2010-06-01

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 16 Mar 2025

Sources: New York Secretary of State