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PROFESSIONAL HEALTH IMAGING, P.C.

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Company Details

Name: PROFESSIONAL HEALTH IMAGING, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Jul 1994 (31 years ago)
Entity Number: 1834965
ZIP code: 11793
County: Kings
Place of Formation: New York
Address: 3361 PARK AVE, WANTAGH, NY, United States, 11793
Principal Address: 679 PENSACOLA LN, LAKE MARY, FL, United States, 32746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
STEWART ROY BAKST MD Chief Executive Officer 679 PENSACOLA LN, LAKE MARY, FL, United States, 32746

DOS Process Agent

Name Role Address
PROFESSIONAL HEALTH IMAGING, P.C. DOS Process Agent 3361 PARK AVE, WANTAGH, NY, United States, 11793

National Provider Identifier

NPI Number:
1508963547

Authorized Person:

Name:
DR. STEWART BAKST
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2013-06-06 2014-09-23 Address 3802 14TH AVENUE, BROOKLYN, NY, 11218, USA (Type of address: Service of Process)
2013-06-06 2014-09-23 Address 3802 14TH AVE, BROOKLYN, NY, 11218, USA (Type of address: Chief Executive Officer)
2013-06-06 2014-09-23 Address 3802 14TH AVE, BROOKLYN, NY, 11218, USA (Type of address: Principal Executive Office)
2006-09-01 2013-06-06 Address 3802 14TH AVENUE, BROOKLYN, NY, 11218, USA (Type of address: Service of Process)
1996-08-07 2013-06-06 Address 4 SOUTH AIRMONT RD, SUFFERN, NY, 10901, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
160701006575 2016-07-01 BIENNIAL STATEMENT 2016-07-01
140923006094 2014-09-23 BIENNIAL STATEMENT 2014-07-01
130606002056 2013-06-06 BIENNIAL STATEMENT 2012-07-01
060901000473 2006-09-01 CERTIFICATE OF AMENDMENT 2006-09-01
980701002458 1998-07-01 BIENNIAL STATEMENT 1998-07-01

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State