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ROBERT FISCH, M.D., P.C.

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Company Details

Name: ROBERT FISCH, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Apr 1997 (28 years ago)
Entity Number: 2135541
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 2280 GRAND AVE STE 201A, BALDWIN, NY, United States, 11510

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ROBERT FISCH Chief Executive Officer 2280 GRAND AVE STE 201A, BALDWIN, NY, United States, 11510

DOS Process Agent

Name Role Address
ROBERT FISCH, MD DOS Process Agent 2280 GRAND AVE STE 201A, BALDWIN, NY, United States, 11510

National Provider Identifier

NPI Number:
1053630129

Authorized Person:

Name:
ROBERT FISCH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5163781606

History

Start date End date Type Value
1999-05-10 2003-05-06 Address 143 N LONG BEACH RD, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Chief Executive Officer)
1999-05-10 2003-05-06 Address 143 N LONG BEACH RD, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Principal Executive Office)
1997-04-21 2003-05-06 Address 143 N. LONG BEACH ROAD, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110511002459 2011-05-11 BIENNIAL STATEMENT 2011-04-01
090427002860 2009-04-27 BIENNIAL STATEMENT 2009-04-01
070411002791 2007-04-11 BIENNIAL STATEMENT 2007-04-01
050610002583 2005-06-10 BIENNIAL STATEMENT 2005-04-01
030506002094 2003-05-06 BIENNIAL STATEMENT 2003-04-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State