| Name: | QUEENS-LONG ISLAND MEDICAL GROUP, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 21 Nov 1990 (35 years ago) |
| Date of dissolution: | 31 Dec 2016 |
| Entity Number: | 1490391 |
| ZIP code: | 10041 |
| County: | New York |
| Place of Formation: | New York |
| Address: | 55 WATER STREET, NEW YORK, NY, United States, 10041 |
| Principal Address: | ADVANTAGECARE PHYSICIANS, P.C., 55 WATER STREET, NEW YORK, NY, United States, 10041 |
Shares Details
Shares issued 1500
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| QUEENS-LONG ISLAND MEDICAL GROUP, P.C. | DOS Process Agent | 55 WATER STREET, NEW YORK, NY, United States, 10041 |
| Name | Role | Address |
|---|---|---|
| NAVARRA RODRIGUEZ, M.D. | Chief Executive Officer | 55 WATER STREET, NEW YORK, NY, United States, 10041 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2015-01-08 | 2016-10-05 | Address | 55 WATER STREET, NEW YORK, NY, 10041, USA (Type of address: Principal Executive Office) |
| 2015-01-08 | 2016-10-05 | Address | 55 WATER STREET, NEW YORK, NY, 10041, USA (Type of address: Chief Executive Officer) |
| 2013-03-29 | 2015-01-08 | Address | C/O EMBLEMHEALTH, 441 NINTH AVENUE, NEW YORK, NY, 10001, USA (Type of address: Service of Process) |
| 2013-01-17 | 2015-01-08 | Address | 1000 ZECKENDORF BLVD, GARDEN CITY, NY, 11530, USA (Type of address: Principal Executive Office) |
| 2013-01-17 | 2015-01-08 | Address | 1000 ZECKENDORF BLVD, GARDEN CITY, NY, 11530, USA (Type of address: Chief Executive Officer) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 161216000136 | 2016-12-16 | CERTIFICATE OF MERGER | 2016-12-31 |
| 161123006130 | 2016-11-23 | BIENNIAL STATEMENT | 2016-11-01 |
| 161005002045 | 2016-10-05 | AMENDMENT TO BIENNIAL STATEMENT | 2014-11-01 |
| 150108006180 | 2015-01-08 | BIENNIAL STATEMENT | 2014-11-01 |
| 130329000290 | 2013-03-29 | CERTIFICATE OF AMENDMENT | 2013-03-29 |
Date of last update: 15 Mar 2025
Sources: New York Secretary of State
