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ANDREW R. FORELLI, D.C., P.C.

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Company Details

Name: ANDREW R. FORELLI, D.C., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 14 Feb 1991 (34 years ago)
Date of dissolution: 28 Jan 2019
Entity Number: 1509136
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 164 MAIN STREET, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ANDREW R. FORELLI, D.C Chief Executive Officer 164 MAIN STREET, HUNTINGTON, NY, United States, 11743

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 164 MAIN STREET, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1851470660

Authorized Person:

Name:
DR. ANDREW R FORELLI JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
6314252602

History

Start date End date Type Value
1991-02-14 1993-07-26 Address 164 MAIN STREET, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
190128000586 2019-01-28 CERTIFICATE OF DISSOLUTION 2019-01-28
940317002307 1994-03-17 BIENNIAL STATEMENT 1994-02-01
930726002228 1993-07-26 BIENNIAL STATEMENT 1993-02-01
910214000031 1991-02-14 CERTIFICATE OF INCORPORATION 1991-02-14

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State