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BAY SHORE FAMILY MEDICAL CARE, P.C.

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Company Details

Name: BAY SHORE FAMILY MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 31 Oct 1996 (29 years ago)
Date of dissolution: 27 Dec 2000
Entity Number: 2080218
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 1766 SUNRISE HIGHWAY, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1766 SUNRISE HIGHWAY, BAY SHORE, NY, United States, 11706

National Provider Identifier

NPI Number:
1578563714

Authorized Person:

Name:
DR. NELSON R GIRALDO
Role:
SUPERVISING PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6314461009

Filings

Filing Number Date Filed Type Effective Date
DP-1474942 2000-12-27 DISSOLUTION BY PROCLAMATION 2000-12-27
961031000282 1996-10-31 CERTIFICATE OF INCORPORATION 1996-10-31

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State