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APPLE COUNTRY FAMILY MEDICINE, P.C.

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Company Details

Name: APPLE COUNTRY FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Dec 1995 (29 years ago)
Entity Number: 1982945
ZIP code: 12972
County: Clinton
Place of Formation: New York
Address: C/O JAMES L DELUCAS, 5 SUMMIT DRIVE, PERU, NY, United States, 12972
Principal Address: 40 NEW YORK ROAD, PLATTSBURGH, NY, United States, 12903

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O JAMES L DELUCAS, 5 SUMMIT DRIVE, PERU, NY, United States, 12972

Chief Executive Officer

Name Role Address
JAMES L. DELUCAS, MD Chief Executive Officer 40 NEW YORK ROAD, PLATTSBURGH, NY, United States, 12903

National Provider Identifier

NPI Number:
1689760787

Authorized Person:

Name:
JAMES L DELUCAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5165632721
Fax:
5185632721

History

Start date End date Type Value
1997-12-11 2000-01-13 Address 701 WISCONSIN STREET, PLATTSBURGH, NY, 12903, USA (Type of address: Chief Executive Officer)
1997-12-11 2000-01-13 Address 701 WISCONSIN STREET, PLATTSBURGH, NY, 12903, USA (Type of address: Principal Executive Office)
1995-12-19 2014-01-30 Address PO BOX 978, PERU, NY, 12972, 0978, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140130002735 2014-01-30 BIENNIAL STATEMENT 2013-12-01
120406002693 2012-04-06 BIENNIAL STATEMENT 2011-12-01
091230002893 2009-12-30 BIENNIAL STATEMENT 2009-12-01
071227002831 2007-12-27 BIENNIAL STATEMENT 2007-12-01
060223003117 2006-02-23 BIENNIAL STATEMENT 2005-12-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State