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NORTH SHORE SURGICAL SPECIALISTS M.D., P.C.

Company Details

Name: NORTH SHORE SURGICAL SPECIALISTS M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Jan 1992 (33 years ago)
Entity Number: 1601849
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DAVID C. LEVINE, M.D. DOS Process Agent 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021

Chief Executive Officer

Name Role Address
DAVID C. LEVINE, M.D. Chief Executive Officer 833 NORTHERN BLVD., GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1336233865

Authorized Person:

Name:
DR. DOMINIC ANDREW FILARDI
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5168290002

Form 5500 Series

Employer Identification Number (EIN):
113089415
Plan Year:
2010
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
26
Sponsors Telephone Number:

History

Start date End date Type Value
1992-01-09 1993-02-02 Address 60 CUTTERMILL ROAD, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
960620000247 1996-06-20 CERTIFICATE OF AMENDMENT 1996-06-20
940114002887 1994-01-14 BIENNIAL STATEMENT 1994-01-01
930202002257 1993-02-02 BIENNIAL STATEMENT 1993-01-01
920109000016 1992-01-09 CERTIFICATE OF INCORPORATION 1992-01-09

Date of last update: 15 Mar 2025

Sources: New York Secretary of State