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PARK SLOPE PHYSICIAN SERVICES, P.C.

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Company Details

Name: PARK SLOPE PHYSICIAN SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Sep 1994 (31 years ago)
Entity Number: 1853186
ZIP code: 11215
County: Kings
Place of Formation: New York
Principal Address: 506 6TH STREET, BROOKLYN, NY, United States, 11215
Address: 506 6TH ST, BROOKLYN, NY, United States, 11215

Contact Details

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Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
NEW YORK METHODIST HOSPITAL DOS Process Agent 506 6TH ST, BROOKLYN, NY, United States, 11215

Chief Executive Officer

Name Role Address
STANLEY SHERBELL MD Chief Executive Officer 506 6TH STREET, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:
1366889958

Authorized Person:

Name:
JOYCE PISCIOTTA
Role:
DIR OF PHYSICIAN SERVICES
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
113231685
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
1994-09-20 1998-10-02 Address 506 SIXTH ST, BROOKLYN, NY, 11215, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100930002487 2010-09-30 BIENNIAL STATEMENT 2010-09-01
080910002655 2008-09-10 BIENNIAL STATEMENT 2008-09-01
060911002027 2006-09-11 BIENNIAL STATEMENT 2006-09-01
041029002361 2004-10-29 BIENNIAL STATEMENT 2004-09-01
020830002252 2002-08-30 BIENNIAL STATEMENT 2002-09-01

Tax Exempt

Employer Identification Number (EIN) :
11-3231685
In Care Of Name:
% MICHAEL FAGAN
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1999-09
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State