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GARY S. ROSENBAUM, M.D., P.C.

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Company Details

Name: GARY S. ROSENBAUM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Aug 1997 (28 years ago)
Entity Number: 2173429
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 887 OLD COUNTRY ROAD, RIVERHEAD, NY, United States, 11901
Principal Address: 887 OLD COUNTRY RD, RIVERHEAD, NY, United States, 11901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 887 OLD COUNTRY ROAD, RIVERHEAD, NY, United States, 11901

Chief Executive Officer

Name Role Address
GARY S ROSENBAUM MD Chief Executive Officer 887 OLD COUNTRY RD, RIVERHEAD, NY, United States, 11901

National Provider Identifier

NPI Number:
1346559192

Authorized Person:

Name:
MISS SHARYN DONNELLY
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6317272672

Filings

Filing Number Date Filed Type Effective Date
130815002342 2013-08-15 BIENNIAL STATEMENT 2013-08-01
110822002157 2011-08-22 BIENNIAL STATEMENT 2011-08-01
090729002797 2009-07-29 BIENNIAL STATEMENT 2009-08-01
070809002917 2007-08-09 BIENNIAL STATEMENT 2007-08-01
051006002016 2005-10-06 BIENNIAL STATEMENT 2005-08-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State