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BRENTWOOD LEGION AMBULANCE SERVICE, INC.

BRENTWOOD LEGION AMBULANCE SERVICE, INC.

Company Details

Name:	BRENTWOOD LEGION AMBULANCE SERVICE, INC.
Jurisdiction:	New York
Legal type:	DOMESTIC NOT-FOR-PROFIT CORPORATION
Status:	Active
Date of registration:	23 Sep 1960 (65 years ago)
Entity Number:	131922
ZIP code:	11717
County:	Suffolk
Place of Formation:	New York
Address:	CHIEF OF DEPARTMENT, PO BOX 506, BRENTWOOD, NY, United States, 11717

Contact Details

Phone +1 631-273-3701

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	CHIEF OF DEPARTMENT, PO BOX 506, BRENTWOOD, NY, United States, 11717

National Provider Identifier

NPI Number:

1700481173

Certification Date:

2020-12-02

Link:

View on NPI website

Authorized Person:

Name:

MR. ANDREW VISKOVICH

Role:

VICE PRESIDENT

Phone:

6312733701

Taxonomy:

Selected Taxonomy:

3416L0300X - Land Ambulance

Is Primary:

Yes

Contacts:

Phone:

+1 631-273-3701

History

Start date	End date	Type	Value
1987-05-14	2011-01-11	Address	49 FIFTH AVENUE, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
110111000954	2011-01-11	CERTIFICATE OF CHANGE	2011-01-11
B555850-2	1987-10-16	ASSUMED NAME CORP INITIAL FILING	1987-10-16
B496405-5	1987-05-14	CERTIFICATE OF AMENDMENT	1987-05-14
233700	1960-09-23	CERTIFICATE OF INCORPORATION	1960-09-23

Tax Exempt

Employer Identification Number (EIN) :

11-6080443

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

1972-08

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 18 Mar 2025

Sources: New York Secretary of State