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GAMALIEL IMMANUEL PHYSICIAN, P.C.

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Company Details

Name: GAMALIEL IMMANUEL PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 May 1987 (38 years ago)
Entity Number: 1170359
ZIP code: 11501
County: Nassau
Place of Formation: New York
Address: 221 LATHAM RD, MINEOLA, NY, United States, 11501
Principal Address: 221 LATHAM ROAD, MINEOLA, NY, United States, 11501

Contact Details

Phone +1 516-565-5556

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
GAMALIEL IMMANUEL Chief Executive Officer 221 LATHAM ROAD, MINEOLA, NY, United States, 11501

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 221 LATHAM RD, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1538469713

Authorized Person:

Name:
GAMALIEL IMMANUEL
Role:
PHYSICIAN P.C.
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
5164830396

Form 5500 Series

Employer Identification Number (EIN):
112876070
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
051219002336 2005-12-19 BIENNIAL STATEMENT 2005-05-01
030804002269 2003-08-04 BIENNIAL STATEMENT 2003-05-01
010613002456 2001-06-13 BIENNIAL STATEMENT 2001-05-01
990527002577 1999-05-27 BIENNIAL STATEMENT 1999-05-01
931015002473 1993-10-15 BIENNIAL STATEMENT 1993-05-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State