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SOUTH SHORE NEUROLOGIC ASSOCIATES, P.C.

Company Details

Name: SOUTH SHORE NEUROLOGIC ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 06 Jun 1989 (36 years ago)
Date of dissolution: 24 Sep 2024
Entity Number: 1358657
ZIP code: 11751
County: Suffolk
Place of Formation: New York
Address: 712 MAIN ST, ISLIP, NY, United States, 11751

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SOUTH SHORE NEUROLOGIC ASSOCIATES, P.C. DOS Process Agent 712 MAIN ST, ISLIP, NY, United States, 11751

Chief Executive Officer

Name Role Address
HENRY MORETA MD Chief Executive Officer 712 MAIN ST, ISLIP, NY, United States, 11751

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
8BEA4
UEI Expiration Date:
2020-07-07

Business Information

Doing Business As:
(AFF: GOOD SAMARITAN HOSP FOUNDATION )
Activation Date:
2019-05-26
Initial Registration Date:
2019-05-09

National Provider Identifier

NPI Number:
1417905969

Authorized Person:

Name:
MS. ANGELA DERITIS
Role:
CERTIFIED MEDICAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
6316663994

History

Start date End date Type Value
2025-01-07 2025-02-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-24 2025-01-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-26 2024-09-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-05-31 2024-06-26 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-28 2024-05-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240925002286 2024-09-24 CERTIFICATE OF DISSOLUTION-CANCELLATION 2024-09-24
190603062794 2019-06-03 BIENNIAL STATEMENT 2019-06-01
170606006550 2017-06-06 BIENNIAL STATEMENT 2017-06-01
161206000151 2016-12-06 CERTIFICATE OF AMENDMENT 2016-12-06
161116006418 2016-11-16 BIENNIAL STATEMENT 2015-06-01

Date of last update: 16 Mar 2025

Sources: New York Secretary of State