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SOUTH SHORE PHYSICIANS, P.C.

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Company Details

Name: SOUTH SHORE PHYSICIANS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Mar 1988 (37 years ago)
Entity Number: 1242405
ZIP code: 10308
County: Richmond
Place of Formation: New York
Address: 3589 HYLAN BOULEVARD, STATEN ISLAND, NY, United States, 10308

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PAUL C GAZZARA MD Chief Executive Officer 3589 HYLAN BLVD, STATEN ISLAND, NY, United States, 10308

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3589 HYLAN BOULEVARD, STATEN ISLAND, NY, United States, 10308

National Provider Identifier

NPI Number:
1093745333

Authorized Person:

Name:
DR. PAUL C GAZZARA
Role:
ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
1993-06-09 1998-03-13 Address 229 WARDWELL AVENUE, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
1988-03-09 1993-06-09 Address 4108 HYLAN BLVD., STATEN ISLAND, NY, 10308, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140430006109 2014-04-30 BIENNIAL STATEMENT 2014-03-01
120417002538 2012-04-17 BIENNIAL STATEMENT 2012-03-01
100401003287 2010-04-01 BIENNIAL STATEMENT 2010-03-01
080519002629 2008-05-19 BIENNIAL STATEMENT 2008-03-01
060505002767 2006-05-05 BIENNIAL STATEMENT 2006-03-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State