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JOSEPH A. BLANCO, M.D., P.C.

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Company Details

Name: JOSEPH A. BLANCO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 17 Sep 1986 (39 years ago)
Date of dissolution: 06 Oct 2020
Entity Number: 1112536
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 30 GRACE AVE., GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JOSEPH A. BLANCO, M.D., P.C. DOS Process Agent 30 GRACE AVE., GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1871877142

Authorized Person:

Name:
JOSEPH A BLANCO
Role:
SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
5166277354

Form 5500 Series

Employer Identification Number (EIN):
112816116
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
201006000676 2020-10-06 CERTIFICATE OF DISSOLUTION 2020-10-06
B402432-4 1986-09-17 CERTIFICATE OF INCORPORATION 1986-09-17

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State