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GREAT NORTH WOODS MEDICAL, P.C.

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Company Details

Name: GREAT NORTH WOODS MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 05 Oct 1995 (30 years ago)
Date of dissolution: 20 Feb 2014
Entity Number: 1962523
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: 23 HAMMOND LANE, PLATTSBURGH, NY, United States, 12901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
R FRANK ULTEE Chief Executive Officer 23 HAMMOND LANE, PLATTSBURGH, NY, United States, 12901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 23 HAMMOND LANE, PLATTSBURGH, NY, United States, 12901

National Provider Identifier

NPI Number:
1235188756

Authorized Person:

Name:
REINIER F ULTEE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5185613420

History

Start date End date Type Value
1999-12-13 2011-11-07 Address 23 HAMMOND LN, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)
1997-10-22 1999-12-13 Address 23 HAMMOND LANE, PLATTSBURGH, NY, 12901, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
140220000054 2014-02-20 CERTIFICATE OF DISSOLUTION 2014-02-20
131105002335 2013-11-05 BIENNIAL STATEMENT 2013-10-01
111107002098 2011-11-07 BIENNIAL STATEMENT 2011-10-01
100106002376 2010-01-06 BIENNIAL STATEMENT 2009-10-01
071030002800 2007-10-30 BIENNIAL STATEMENT 2007-10-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State