| Name: | SCOTT BLOOM, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 13 Jun 1996 (29 years ago) |
| Entity Number: | 2039052 |
| ZIP code: | 11753 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 99 JERICHO TPKE / SUITE 206, JERICHO, NY, United States, 11753 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 99 JERICHO TPKE / SUITE 206, JERICHO, NY, United States, 11753 |
| Name | Role | Address |
|---|---|---|
| SCOTT BLOOM | Chief Executive Officer | 99 JERICHO TPKE / SUITE 206, JERICHO, NY, United States, 11753 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2006-07-21 | 2010-07-01 | Address | 99 JERICHO TPKE, STE 206, JERICHO, NY, 11753, USA (Type of address: Service of Process) |
| 2006-07-21 | 2010-07-01 | Address | 99 JERICHO TPKE, STE 206, JERICHO, NY, 11753, USA (Type of address: Principal Executive Office) |
| 2006-07-21 | 2010-07-01 | Address | 99 JERICHO TPKE, STE 206, JERICHO, NY, 11753, USA (Type of address: Chief Executive Officer) |
| 2002-06-17 | 2006-07-21 | Address | 55 POST AVENUE, STE. 201, WESTBURY, NY, 11590, USA (Type of address: Principal Executive Office) |
| 2002-06-17 | 2006-07-21 | Address | 55 POST AVENUE, STE 201, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 160801006993 | 2016-08-01 | BIENNIAL STATEMENT | 2016-06-01 |
| 140602006460 | 2014-06-02 | BIENNIAL STATEMENT | 2014-06-01 |
| 120613006486 | 2012-06-13 | BIENNIAL STATEMENT | 2012-06-01 |
| 100701003009 | 2010-07-01 | BIENNIAL STATEMENT | 2010-06-01 |
| 080724002049 | 2008-07-24 | BIENNIAL STATEMENT | 2008-06-01 |
Date of last update: 14 Mar 2025
Sources: New York Secretary of State
