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G. BHANUSALI, M.D., P.C.

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Company Details

Name: G. BHANUSALI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Aug 1992 (33 years ago)
Entity Number: 1659456
ZIP code: 10940
County: Orange
Place of Formation: New York
Address: 15 DUNNING RD, STE 2, MIDDLETOWN, NY, United States, 10940

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 15 DUNNING RD, STE 2, MIDDLETOWN, NY, United States, 10940

Chief Executive Officer

Name Role Address
DR BHANUSALI GOVINDLAL Chief Executive Officer 15 DUNNING RD, STE 2, MIDDLETOWN, NY, United States, 10940

National Provider Identifier

NPI Number:
1700069242

Authorized Person:

Name:
GOVINDLAL K BHANUSALI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
8453433723

Form 5500 Series

Employer Identification Number (EIN):
141746247
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2007-09-11 2008-08-04 Address 15 DUNNING RD, STE 2, MIDDLETOWN, NY, 10940, USA (Type of address: Chief Executive Officer)
1998-07-23 2007-09-11 Address 15 DUNNING ROAD, SUITE 2, MIDDLETOWN, NY, 10940, USA (Type of address: Chief Executive Officer)
1993-10-29 1998-07-23 Address PO BOX 810, GOSHEN, NY, 10924, USA (Type of address: Chief Executive Officer)
1993-10-29 2007-09-11 Address PROFESSIONAL BUILDING #700, ROUTE 17M AND SOUTH STREET, GOSHEN, NY, 10924, USA (Type of address: Principal Executive Office)
1992-08-17 2007-09-11 Address 700 PROFESSIONAL BUILDING, GOSHEN, NY, 10924, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
080804003046 2008-08-04 BIENNIAL STATEMENT 2008-08-01
070911003034 2007-09-11 BIENNIAL STATEMENT 2006-08-01
980908000442 1998-09-08 CERTIFICATE OF MERGER 1998-09-08
980723002597 1998-07-23 BIENNIAL STATEMENT 1998-08-01
960909002069 1996-09-09 BIENNIAL STATEMENT 1996-08-01

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State