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MARY MATTHEOS, PHYSICIAN, P.C.

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Company Details

Name: MARY MATTHEOS, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Aug 1997 (28 years ago)
Entity Number: 2168500
ZIP code: 11757
County: Nassau
Place of Formation: New York
Address: 350 WEST MONTAUK HWY, LINDENHURST, NY, United States, 11757

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 350 WEST MONTAUK HWY, LINDENHURST, NY, United States, 11757

Chief Executive Officer

Name Role Address
DR MARY MATTHEOS Chief Executive Officer 350 WEST MONTAUK HWY, LINDENHURST, NY, United States, 11757

National Provider Identifier

NPI Number:
1245426550
Certification Date:
2023-03-15

Authorized Person:

Name:
DR. MARY MATTHEOS
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
113391542
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
1999-10-07 2005-10-03 Address 152 N WELLWOOD AVE, LINDENHURST, NY, 11757, USA (Type of address: Chief Executive Officer)
1999-10-07 2005-10-03 Address 152 N WELLWOOD AVE, LINDENHURST, NY, 11757, USA (Type of address: Principal Executive Office)
1999-10-07 2005-10-03 Address 152 N. WELLWOOD AVENUE, LINDENHURST, NY, 11757, USA (Type of address: Service of Process)
1997-08-05 1999-10-07 Address 152 NORTH WELLWOOD AVENUE, LINDENHURST, NY, 11757, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110811002020 2011-08-11 BIENNIAL STATEMENT 2011-08-01
091202002405 2009-12-02 BIENNIAL STATEMENT 2009-08-01
070814002310 2007-08-14 BIENNIAL STATEMENT 2007-08-01
051003002243 2005-10-03 BIENNIAL STATEMENT 2005-08-01
030829002510 2003-08-29 BIENNIAL STATEMENT 2003-08-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State