| Name: | DOUGLAS R. PHILLIPS, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 28 Sep 1993 (32 years ago) |
| Entity Number: | 1760048 |
| ZIP code: | 11710 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 2428 MERRICK RD, BELLMORE, NY, United States, 11710 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| DOUGLAS R PHILLIPS | DOS Process Agent | 2428 MERRICK RD, BELLMORE, NY, United States, 11710 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS R PHILLIPS MD | Chief Executive Officer | 2428 MERRICK RD, BELLMORE, NY, United States, 11710 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2001-09-13 | 2011-10-14 | Address | 123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office) |
| 2001-09-13 | 2011-10-14 | Address | 123 MAPLE AVE, CEDARHURST, NY, 11516, USA (Type of address: Chief Executive Officer) |
| 1997-09-22 | 2001-09-13 | Address | 123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office) |
| 1997-09-22 | 2011-10-14 | Address | 123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Service of Process) |
| 1997-09-22 | 2001-09-13 | Address | 123 MAPLE AVENUE, CEDARHURST, NY, 11516, USA (Type of address: Chief Executive Officer) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190903060782 | 2019-09-03 | BIENNIAL STATEMENT | 2019-09-01 |
| 150917006075 | 2015-09-17 | BIENNIAL STATEMENT | 2015-09-01 |
| 130923006039 | 2013-09-23 | BIENNIAL STATEMENT | 2013-09-01 |
| 111014002923 | 2011-10-14 | BIENNIAL STATEMENT | 2011-09-01 |
| 090917002391 | 2009-09-17 | BIENNIAL STATEMENT | 2009-09-01 |
Date of last update: 15 Mar 2025
Sources: New York Secretary of State
