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GOSHEN MEDICAL ASSOCIATES, P.C.

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Company Details

Name: GOSHEN MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 09 Feb 1989 (36 years ago)
Date of dissolution: 29 Jul 2016
Entity Number: 1324634
ZIP code: 10924
County: Orange
Place of Formation: New York
Address: 70 HATFIELD LANE, SUITE 101, GOSHEN, NY, United States, 10924

Shares Details

Shares issued 1504

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70 HATFIELD LANE, SUITE 101, GOSHEN, NY, United States, 10924

Chief Executive Officer

Name Role Address
WILLIAM L CIEPLINSKI Chief Executive Officer 70 HATFIELD LANE, SUITE 101, GOSHEN, NY, United States, 10924

National Provider Identifier

NPI Number:
1689620973

Authorized Person:

Name:
WILLIAM CIEPLINSKI
Role:
OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8452941669

Form 5500 Series

Employer Identification Number (EIN):
141720592
Plan Year:
2014
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
24
Sponsors Telephone Number:

History

Start date End date Type Value
2005-01-18 2007-03-05 Address 70 RATVIELD LANE, SUITE 101, GOSHEN, NY, 10924, USA (Type of address: Chief Executive Officer)
2002-07-25 2005-01-18 Address 70 HATFIELD LANE, GOSHEN, NY, 10924, USA (Type of address: Service of Process)
2002-07-25 2004-11-22 Shares Share type: NO PAR VALUE, Number of shares: 1505, Par value: 0
2001-03-05 2005-01-18 Address 70 HATFIELD LANE, SUITE 101, GOSHEN, NY, 10940, USA (Type of address: Chief Executive Officer)
2001-03-05 2005-01-18 Address 70 HATFIELD LANE, SUITE 101, GOSHEN, NY, 10940, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
160729000312 2016-07-29 CERTIFICATE OF DISSOLUTION 2016-07-29
110217003089 2011-02-17 BIENNIAL STATEMENT 2011-02-01
090209002240 2009-02-09 BIENNIAL STATEMENT 2009-02-01
070305002121 2007-03-05 BIENNIAL STATEMENT 2007-02-01
050304002550 2005-03-04 BIENNIAL STATEMENT 2005-02-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State