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RIVER VALLEY FAMILY MEDICAL SERVICES, P.C.

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Company Details

Name: RIVER VALLEY FAMILY MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Jan 1988 (37 years ago)
Entity Number: 1227268
ZIP code: 12719
County: Sullivan
Place of Formation: New York
Address: 3452 ROUTE 97, BARRYVILLE, NY, United States, 12719

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RICHARD JOHN DABOUL JR. MD Chief Executive Officer 3452 ROUTE 97, BARRYVILLE, NY, United States, 12719

DOS Process Agent

Name Role Address
RICHARD JOHN DABOUL JR. MD DOS Process Agent 3452 ROUTE 97, BARRYVILLE, NY, United States, 12719

National Provider Identifier

NPI Number:
1831241009

Authorized Person:

Name:
DR. RICHARD JOHN DABOUL JR.
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8455578005

History

Start date End date Type Value
1993-05-10 2000-02-23 Address PROFESSIONAL BUILDING, 136 ROUTE 97, BARRYVILLE, NY, 12719, USA (Type of address: Chief Executive Officer)
1993-05-10 2000-02-23 Address PROFESSIONAL BUILDING, 136 ROUTE 97, BARRYVILLE, NY, 12719, USA (Type of address: Principal Executive Office)
1993-05-10 2000-02-23 Address 136 ROUTE 97, BARRYVILLE, NY, 12719, USA (Type of address: Service of Process)
1988-01-14 1993-05-10 Address RTE. 97 PROFESSIONAL BLD, POB 190, BARRYVILLE, NY, 12719, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140227002101 2014-02-27 BIENNIAL STATEMENT 2014-01-01
120203002923 2012-02-03 BIENNIAL STATEMENT 2012-01-01
100125002671 2010-01-25 BIENNIAL STATEMENT 2010-01-01
080123002003 2008-01-23 BIENNIAL STATEMENT 2008-01-01
060215002460 2006-02-15 BIENNIAL STATEMENT 2006-01-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State