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LONG ISLAND PODIATRY GROUP, P.C.

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Company Details

Name: LONG ISLAND PODIATRY GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Nov 1992 (33 years ago)
Entity Number: 1677246
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 375 N CENTRAL AVENUE, VALLEY STREAM, NY, United States, 11580

Contact Details

Phone +1 516-825-4070

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RUSSELL CAPRIOLI Chief Executive Officer 375 N CENTRAL AVENUE, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 375 N CENTRAL AVENUE, VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1184151003
Certification Date:
2024-07-18

Authorized Person:

Name:
DR. RUSSELL CAPRIOLI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
5165682318
Fax:
5163270083

Form 5500 Series

Employer Identification Number (EIN):
113140335
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
17
Sponsors Telephone Number:

History

Start date End date Type Value
2023-05-22 2023-12-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1993-11-16 2006-11-22 Address 375 NORTH CENTRAL AVENUE, VALLEY STREAM, NY, 11580, USA (Type of address: Chief Executive Officer)
1993-11-16 2006-11-22 Address 375 NORTH CENTRAL AVENUE, VALLEY STREAM, NY, 11580, USA (Type of address: Principal Executive Office)
1993-11-16 2006-11-22 Address 375 NORTH CENTRAL AVENUE, VALLEY STREAM, NY, 11580, USA (Type of address: Service of Process)
1992-11-02 2023-05-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
141125006210 2014-11-25 BIENNIAL STATEMENT 2014-11-01
121115002009 2012-11-15 BIENNIAL STATEMENT 2012-11-01
101104002646 2010-11-04 BIENNIAL STATEMENT 2010-11-01
081202002614 2008-12-02 BIENNIAL STATEMENT 2008-11-01
061122002599 2006-11-22 BIENNIAL STATEMENT 2006-11-01

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State