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SCOTIA - GLENVILLE FAMILY MEDICINE, P.C.

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Company Details

Name: SCOTIA - GLENVILLE FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jan 1987 (38 years ago)
Entity Number: 1139547
ZIP code: 12019
County: Schenectady
Place of Formation: New York
Address: CHRISTOPHER BUFF DO, 112 CHARLTON RD, BALLSTON LAKE, NY, United States, 12019
Principal Address: 112 CHARLTON RD, BALLSTON LAKE, NY, United States, 12019

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ROBERT HALBIG MD Chief Executive Officer 112 CHARLTON RD, BALLSTON LAKE, NY, United States, 12019

DOS Process Agent

Name Role Address
ROBERT HALBIG MD DOS Process Agent CHRISTOPHER BUFF DO, 112 CHARLTON RD, BALLSTON LAKE, NY, United States, 12019

National Provider Identifier

NPI Number:
1619922218

Authorized Person:

Name:
MS. DIANE K CLARKE
Role:
RN/NURSE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5183996428

Form 5500 Series

Employer Identification Number (EIN):
141691508
Plan Year:
2013
Number Of Participants:
48
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
43
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
44
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
47
Sponsors Telephone Number:

History

Start date End date Type Value
1997-04-15 1999-02-05 Address 124 SARATOGA RD, SCOTIA, NY, 12302, USA (Type of address: Chief Executive Officer)
1997-04-15 1999-02-05 Address 124 SARATOGA RD, SCOTIA, NY, 12302, USA (Type of address: Principal Executive Office)
1992-05-15 1996-05-28 Name ROBERT HALBIG, M.D. & CHRISTOPHER BUFF, D.O., P.C.
1987-01-26 1992-05-15 Name ROBERT HALBIG, M.D. & JEFFREY HOLMSTROM, D.O., P.C.
1987-01-26 1999-02-05 Address JEFFREY HOMSTROM DO PC, 124 SARATOGA ROAD, SCOTIA, NY, 12302, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150116006724 2015-01-16 BIENNIAL STATEMENT 2015-01-01
130117002183 2013-01-17 BIENNIAL STATEMENT 2013-01-01
110127003245 2011-01-27 BIENNIAL STATEMENT 2011-01-01
090114003055 2009-01-14 BIENNIAL STATEMENT 2009-01-01
061227002881 2006-12-27 BIENNIAL STATEMENT 2007-01-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State