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  5. PARK SLOPE MEDICINE, P.C.

PARK SLOPE MEDICINE, P.C.

Company Details

Name: PARK SLOPE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 1997 (28 years ago)
Entity Number: 2097847
ZIP code: 11215
County: Kings
Place of Formation: New York
Principal Address: 506 6TH ST, BROOKLYN, NY, United States, 11215
Address: 506 SIXTH STREET, BROOKLYN, NY, United States, 11215

Contact Details

Phone +1 718-499-2169

Phone +1 718-246-8614

Phone +1 718-266-6100

Phone +1 718-859-2626

Phone +1 212-496-1187

Phone +1 914-771-9666

Phone +1 845-634-8200

Phone +1 516-771-2623

Phone +1 347-462-1914

Phone +1 516-371-5410

Phone +1 845-738-7383

Phone +1 718-701-6257

Phone +1 718-545-0700

Phone +1 347-582-2534

Phone +1 718-881-9525

Phone +1 718-780-5131

Phone +1 516-437-5300

Phone +1 516-621-2267

Phone +1 845-634-2460

Phone +1 212-816-1400

Phone +1 631-813-4499

Phone +1 718-963-0882

Phone +1 718-431-0073

Phone +1 845-738-7371

Phone +1 718-369-8000

Phone +1 718-424-9531

Phone +1 718-946-1102

Phone +1 845-359-1877

Phone +1 845-738-7351

Phone +1 718-544-5730

Phone +1 718-622-2608

Phone +1 718-409-9444

Phone +1 914-693-2665

Phone +1 718-677-7680

Phone +1 718-693-6060

Phone +1 718-282-7880

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
STEPHEN J. PETERSON, MD Chief Executive Officer 506 6TH ST, BROOKLYN, NY, United States, 11215

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 506 SIXTH STREET, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:
1770781783
Link:
View on NPI website

Authorized Person:

Name:
HARVEY DOSIK
Role:
DIRECTOR
Phone:
7187805246

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Phone:
+1 718-246-8614
Fax:
7182468656

Form 5500 Series

Employer Identification Number (EIN):
113362663
Plan Year:
2016
Number Of Participants:
3
Sponsors Telephone Number:
2122975962
File:
View File
Plan Year:
2016
Number Of Participants:
7
Sponsors Telephone Number:
2122975962
File:
View File
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
2122975962
File:
View File
Plan Year:
2014
Number Of Participants:
7
Sponsors Telephone Number:
2122975962
File:
View File
Plan Year:
2013
Number Of Participants:
6
Sponsors Telephone Number:
2122975962
File:
View File

History

Start date End date Type Value
2007-03-12 2015-02-11 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2000-01-18 2024-10-22 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
1999-01-21 2007-03-12 Address 506 6TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
210105062093 2021-01-05 BIENNIAL STATEMENT 2021-01-01
150211006311 2015-02-11 BIENNIAL STATEMENT 2015-01-01
130220002182 2013-02-20 BIENNIAL STATEMENT 2013-01-01
110311002606 2011-03-11 BIENNIAL STATEMENT 2011-01-01
090122002271 2009-01-22 BIENNIAL STATEMENT 2009-01-01

Tax Exempt

Employer Identification Number (EIN) :
11-3362663
In Care Of Name:
% MICHAEL FAGAN
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1999-09
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC. 732 CINNAMON BEACH INC.

Related by address

506 6TH ST, BROOKLYN, NY, United States, 11215

BROOKLYN RADIOLOGY SERVICES, P.C. HANI ASHAMALLA PHYSICIAN, P.C. JOSEPH BOVE, M.D., P.C. PARK SLOPE PHYSICIAN SERVICES, P.C. RADIATION THERAPIST ASSOCIATES, P.C.

506 SIXTH STREET, BROOKLYN, NY, United States, 11215

BROOKLYN DENTAL SERVICES, P.C. BROOKLYN FOOT & ANKLE, P.C. KINGS PHYSICIAN SERVICES, P.C. NEW YORK IVF P.C. PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C. PARK SLOPE MEDICAL HEALTH PROVIDER, P.C. PARK SLOPE OBSTETRICS & GYNECOLOGY, P.C. PARK SLOPE PEDIATRIC MEDICINE, P.C.

Date of last update: 01 Apr 2025

Sources: New York Secretary of State

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