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JORGE L. GARDYN, M.D., F.A.C.P., P.C.

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Company Details

Name: JORGE L. GARDYN, M.D., F.A.C.P., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 1995 (30 years ago)
Entity Number: 1910969
ZIP code: 11701
County: Nassau
Place of Formation: New York
Address: 618 BROADWAY, AMITYVILLE, NY, United States, 11701

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JORGE GARDYN DOS Process Agent 618 BROADWAY, AMITYVILLE, NY, United States, 11701

Chief Executive Officer

Name Role Address
JORGE L GARDYN Chief Executive Officer 618 BROADWAY, AMITYVILLE, NY, United States, 11701

National Provider Identifier

NPI Number:
1740584333

Authorized Person:

Name:
DR. JORGE L. GARDYN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5167971826

History

Start date End date Type Value
1997-07-11 2011-07-19 Address 4 DOROTHY GATE, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
1997-07-11 2011-07-19 Address 4 DOROTHY GATE, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office)
1995-04-06 2011-07-19 Address CARMAN ROAD & DOROTHY GATE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211008002571 2021-10-08 BIENNIAL STATEMENT 2021-10-08
130424002419 2013-04-24 BIENNIAL STATEMENT 2013-04-01
110719002045 2011-07-19 BIENNIAL STATEMENT 2011-04-01
090420002169 2009-04-20 BIENNIAL STATEMENT 2009-04-01
070724002829 2007-07-24 BIENNIAL STATEMENT 2007-04-01

OSHA's Inspections within Industry

Inspection Summary

Date:
2005-10-07
Type:
Complaint
Address:
4 DOROTHY GATE, MASSAPEQUA, NY, 11758
Safety Health:
Health
Scope:
Partial

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State