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ROBERT BERNARD, M.D., P.C.

ROBERT BERNARD, M.D., P.C.

Company Details

Name:	ROBERT BERNARD, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Inactive
Date of registration:	01 Feb 1990 (35 years ago)
Date of dissolution:	26 Oct 2011
Entity Number:	1419389
ZIP code:	11792
County:	Suffolk
Place of Formation:	New York
Address:	WADING RIVER PROF. CENTER, 6144 RT 25A BLDG C, WADING RIVER, NY, United States, 11792
Principal Address:	6144 ROUTE 25A, BUILDING C, WADING RIVER, NY, United States, 11792

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name	Role	Address
ROBERT BERNARD MD	Chief Executive Officer	6144 ROUTE 25A, WADING RIVER, NY, United States, 11792

DOS Process Agent

Name	Role	Address
ROBERT BERNARD MD	DOS Process Agent	WADING RIVER PROF. CENTER, 6144 RT 25A BLDG C, WADING RIVER, NY, United States, 11792

National Provider Identifier

NPI Number:

1790971505

Link:

View on NPI website

Authorized Person:

Name:

DR. ROBERT BERNARD

Role:

PRESIDENT

Phone:

6319295900

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-929-5900

Fax:

6319296487

History

Start date	End date	Type	Value
2000-03-07	2002-05-09	Address	WADING RIVER PROF. CENTER, 6144 RT 25A BLDG C, WADING RIVER, NY, 11792, USA (Type of address: Principal Executive Office)
2000-03-07	2002-05-09	Address	WADING RIVER PROF. CENTER, 6144 RT 25A BLDG C, WADING RIVER, NY, 11792, USA (Type of address: Chief Executive Officer)
1998-03-04	2000-03-07	Address	WADING RIVER PROF CNTR, 6144 RT 25A BLDG C SUITE 10, WADING RIVER, NY, 11792, USA (Type of address: Principal Executive Office)
1998-03-04	2000-03-07	Address	WADING RIVER PROF CNTR, 6144 RT 25A BLDG C SUITE 10, WADING RIVER, NY, 11792, USA (Type of address: Service of Process)
1998-03-04	2000-03-07	Address	WADING RIVER PROF CNTR, 6144 RT 25A BLDG C SUITE 10, WADING RIVER, NY, 11792, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
DP-2052521	2011-10-26	DISSOLUTION BY PROCLAMATION	2011-10-26
080201003015	2008-02-01	BIENNIAL STATEMENT	2008-02-01
060314002824	2006-03-14	BIENNIAL STATEMENT	2006-02-01
040225002201	2004-02-25	BIENNIAL STATEMENT	2004-02-01
020509002166	2002-05-09	BIENNIAL STATEMENT	2002-02-01

Date of last update: 16 Mar 2025

Sources: New York Secretary of State