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EBEN-EZER MEDICAL ASSOCIATES P.C.

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Company Details

Name: EBEN-EZER MEDICAL ASSOCIATES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Feb 1996 (29 years ago)
Entity Number: 1998728
ZIP code: 11550
County: Nassau
Place of Formation: New York
Address: 275 JERUSALEM AVE, HEMPSTEAD, NY, United States, 11550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOEL BEDARD Chief Executive Officer 275 JERUSALEM AVE, HEMPSTEAD, NY, United States, 11550

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 275 JERUSALEM AVE, HEMPSTEAD, NY, United States, 11550

National Provider Identifier

NPI Number:
1568512333

Authorized Person:

Name:
DR. JOEL BEDARD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5164832805

Form 5500 Series

Employer Identification Number (EIN):
113304143
Plan Year:
2019
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
1996-02-09 1998-03-26 Address 275 JERUSALEM AVENUE, HEMPSTEAD, NY, 11550, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200219000646 2020-02-19 ANNULMENT OF DISSOLUTION 2020-02-19
DP-1426679 1999-12-29 DISSOLUTION BY PROCLAMATION 1999-12-29
980326002369 1998-03-26 BIENNIAL STATEMENT 1998-02-01
960209000186 1996-02-09 CERTIFICATE OF INCORPORATION 1996-02-09

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State