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PREMISE HEALTH OF NEW YORK MEDICAL, P.C.

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Company Details

Name: PREMISE HEALTH OF NEW YORK MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Nov 1989 (36 years ago)
Entity Number: 1397712
ZIP code: 12207
County: Rensselaer
Principal Address: 5500 MAYLAND WAY, SUITE 120, BRENTWOOD, TN, United States, 37027
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Shares Details

Shares issued 700

Share Par Value 0.01

Type PAR VALUE

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name Role Address
JONATHAN LEIZMAN MD Chief Executive Officer 5500 MAYLAND WAY, SUITE 120, BRENTWOOD, TN, United States, 37027

National Provider Identifier

NPI Number:
1649076522
Certification Date:
2025-02-21

Authorized Person:

Name:
JON LEIZMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2128133147

History

Start date End date Type Value
2023-11-01 2023-11-01 Address 5500 MAYLAND WAY, SUITE 120, BRENTWOOD, TN, 37027, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 5500 MAYLAND WAY, SUITE 200, BRENTWOOD, TN, 37027, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 5500 MAYLAND WAY,, SUITE 120, BRENTWOOD, TN, 37027, USA (Type of address: Chief Executive Officer)
2022-01-17 2023-11-01 Shares Share type: PAR VALUE, Number of shares: 700, Par value: 0.01
2022-01-17 2023-11-01 Address 5500 MAYLAND WAY,, SUITE 120, BRENTWOOD, TN, 37027, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
231101041723 2023-11-01 BIENNIAL STATEMENT 2023-11-01
220117001631 2022-01-17 CERTIFICATE OF AMENDMENT 2022-01-17
220108000092 2022-01-07 CERTIFICATE OF MERGER 2022-01-07
211109001134 2021-11-09 BIENNIAL STATEMENT 2021-11-09
200305002001 2020-03-05 BIENNIAL STATEMENT 2019-11-01

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Date of last update: 16 Mar 2025

Sources: New York Secretary of State