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COMPLETE CARE MEDICAL OF NY, P.C.

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Company Details

Name: COMPLETE CARE MEDICAL OF NY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Sep 1986 (39 years ago)
Entity Number: 1109301
ZIP code: 11385
County: Kings
Place of Formation: New York
Address: 311 ST NICHOLAS AVE, Ridgewood, NY, United States, 11385

Contact Details

Phone +1 718-894-2500

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARIANO MEDEROS Chief Executive Officer 311 ST NICHOLAS AVE, RIDGEWOOD, NY, United States, 11385

DOS Process Agent

Name Role Address
COMPLETE CARE MEDICAL NY, P.C. DOS Process Agent 311 ST NICHOLAS AVE, Ridgewood, NY, United States, 11385

National Provider Identifier

NPI Number:
1346542818

Authorized Person:

Name:
MR. MARIANO MEDEROS
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7184174535

Form 5500 Series

Employer Identification Number (EIN):
061174926
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
1986-09-04 1995-10-16 Address 564 ATLANTIC AVE., BROOKLYN, NY, 11217, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221024000634 2022-10-24 BIENNIAL STATEMENT 2022-09-01
961030002038 1996-10-30 BIENNIAL STATEMENT 1996-09-01
951016002000 1995-10-16 BIENNIAL STATEMENT 1993-09-01
950725000465 1995-07-25 CERTIFICATE OF AMENDMENT 1995-07-25
B397742-5 1986-09-04 CERTIFICATE OF INCORPORATION 1986-09-04

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State