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BLAIR S. LEWIS M.D., P.C.

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Company Details

Name: BLAIR S. LEWIS M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Jun 1991 (34 years ago)
Entity Number: 1555546
ZIP code: 10128
County: New York
Place of Formation: New York
Principal Address: 1067 FIFTH AVE, NEW YORK, NY, United States, 10128

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BLAIR S LEWIS MD Chief Executive Officer 1067 FIFTH AVE, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
BLAIR S LEWIS MD DOS Process Agent 1067 FIFTH AVE, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1306084892

Authorized Person:

Name:
DR. BLAIR SETH LEWIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
2123698975

History

Start date End date Type Value
2025-06-02 2025-06-02 Address 1067 FIFTH AVE, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2025-01-05 2025-06-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-05 2025-06-02 Address 1067 FIFTH AVE, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2025-01-05 2025-01-05 Address 1067 FIFTH AVE, NEW YORK, NY, 10128, USA (Type of address: Chief Executive Officer)
2025-01-05 2025-06-02 Address 1067 FIFTH AVE, NEW YORK, NY, 10128, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250602007375 2025-06-02 BIENNIAL STATEMENT 2025-06-02
250105000191 2025-01-05 BIENNIAL STATEMENT 2025-01-05
210629002356 2021-06-29 BIENNIAL STATEMENT 2021-06-29
190308002030 2019-03-08 BIENNIAL STATEMENT 2017-06-01
050815002481 2005-08-15 BIENNIAL STATEMENT 2005-06-01

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State