Search icon

NORTHWELL HEALTH, INC.

Company Details

Name: NORTHWELL HEALTH, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 27 Oct 1997 (27 years ago)
Entity Number: 2193437
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Contact Details

Phone +1 516-321-6103

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
E35GYKN3S8R9 2024-11-21 2000 MARCUS AVE, NEW HYDE PARK, NY, 11042, 1069, USA GRANTS MANAGMENT OFFICE, 350 COMMUNITY DR., MANHASSET, NY, 11030, 3816, USA

Business Information

Congressional District 03
State/Country of Incorporation NY, USA
Activation Date 2023-11-27
Initial Registration Date 2005-06-02
Entity Start Date 1997-10-29
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 622110

Points of Contacts

Electronic Business
Title PRIMARY POC
Name DIANE M MARBURY
Role SENIOR DIRECTOR, GRANTS MANAGEMENT
Address 350 COMMUNITY DRIVE, MANHASSET, NY, 11030, 3816, USA
Title ALTERNATE POC
Name DIANE MARBURY
Address 350 COMMUNITY DRIVE, GMO, 4TH FLOOR, MANHASSET, NY, 11030, USA
Government Business
Title PRIMARY POC
Name DIANE M MARBURY
Role SENIOR DIRECTOR, GRANTS MANAGEMENT
Address 350 COMMUNITY DRIVE, MANHASSET, NY, 11030, 3816, USA
Title ALTERNATE POC
Name ANGELICA C. GOMEZ
Role DIRECTOR, FINANCE
Address 125 COMMUNITY DRIVE, GREAT NECK, NY, 11021, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4AJP5 Active Non-Manufacturer 2005-06-02 2024-03-03 2028-11-27 2024-11-21

Contact Information

POC DIANE M. MARBURY
Phone +1 516-465-2664
Fax +1 516-465-2696
Address 2000 MARCUS AVE, NEW HYDE PARK, NY, 11042 1069, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (6)
CAGE number 44BC4
Owner Type Immediate
Legal Business Name LONG ISLAND JEWISH MEDICAL CENTER
CAGE number 08KW0
Owner Type Immediate
Legal Business Name NORTH SHORE UNIVERSITY HOSPITAL
CAGE number 4C6F6
Owner Type Immediate
Legal Business Name PHELPS MEMORIAL HOSPITAL ASSOCIATION
CAGE number 3X5A7
Owner Type Immediate
Legal Business Name SOUTH SHORE UNIVERSITY HOSPITAL
CAGE number 48XM8
Owner Type Immediate
Legal Business Name STATEN ISLAND UNIVERSITY HOSPITAL
CAGE number 3D9G5
Owner Type Immediate
Legal Business Name THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300LEV43PW876Z680 2193437 US-NY GENERAL ACTIVE 1997-10-27

Addresses

Legal C/O OFFICE OF LEGAL AFFAIRS, ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, US-NY, US, 11042
Headquarters ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, US-NY, US, 11042

Registration details

Registration Date 2013-04-05
Last Update 2024-06-24
Status ISSUED
Next Renewal 2025-07-23
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 2193437

DOS Process Agent

Name Role Address
the corporation DOS Process Agent ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

History

Start date End date Type Value
2017-10-05 2024-11-13 Address ATTN: GENERAL COUNSEL, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
2015-12-04 2017-10-05 Address 145 COMMUNITY DRIVE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2002-05-09 2015-12-04 Address 145 COMMUNITY DRIVE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
1997-10-27 2002-05-09 Address 600 NORTHERN BOULEVARD, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241113001916 2024-11-13 CERTIFICATE OF AMENDMENT 2024-11-13
171005000370 2017-10-05 CERTIFICATE OF CHANGE 2017-10-05
151204000392 2015-12-04 CERTIFICATE OF AMENDMENT 2015-12-04
020509000940 2002-05-09 CERTIFICATE OF CHANGE 2002-05-09
971027000483 1997-10-27 CERTIFICATE OF INCORPORATION 1997-10-27

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DTDTMA5P08171 2008-09-03 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_DTDTMA5P08171_6938_-NONE-_-NONE-
Awarding Agency Department of Transportation
Link View Page

Description

Title LABORATORY TESTS - MEDICAL
NAICS Code 541380: TESTING LABORATORIES
Product and Service Codes Q301: LABORATORY TESTING SERVICES

Recipient Details

Recipient NORTHWELL HEALTH, INC.
UEI E35GYKN3S8R9
Legacy DUNS 807920368
Recipient Address UNITED STATES, 145 COMMUNITY DR, MANHASSET, 110300000
PO AWARD DTDTMA5P09142 2009-05-31 2009-08-31 2009-08-31
Unique Award Key CONT_AWD_DTDTMA5P09142_6938_-NONE-_-NONE-
Awarding Agency Department of Transportation
Link View Page

Description

Title MEDICAL LABORATORY TESTS
NAICS Code 541380: TESTING LABORATORIES
Product and Service Codes Q301: LABORATORY TESTING SERVICES

Recipient Details

Recipient NORTHWELL HEALTH, INC.
UEI E35GYKN3S8R9
Legacy DUNS 807920368
Recipient Address UNITED STATES, 145 COMMUNITY DR, MANHASSET, 110300000
DEFINITIVE CONTRACT AWARD 75D30122C15520 2022-09-29 2025-09-28 2030-09-28
Unique Award Key CONT_AWD_75D30122C15520_7523_-NONE-_-NONE-
Awarding Agency Department of Health and Human Services
Link View Page

Award Amounts

Obligated Amount 10865632.69
Current Award Amount 10865632.69
Potential Award Amount 31112028.29

Description

Title WTCHP CLINICAL CENTER OF EXCELLENCE
NAICS Code 621498: ALL OTHER OUTPATIENT CARE CENTERS
Product and Service Codes Q201: MEDICAL- GENERAL HEALTH CARE

Recipient Details

Recipient NORTHWELL HEALTH, INC.
UEI E35GYKN3S8R9
Recipient Address UNITED STATES, 2000 MARCUS AVE, NEW HYDE PARK, NASSAU, NEW YORK, 110421069

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
D11HP22203 Department of Health and Human Services 93.359 - NURSE EDUCATION, PRACTICE AND RETENTION GRANTS 2011-07-01 2014-06-30 NURSE EDUCATION PRACTICE, QUALITY AND RETENTION
Recipient NORTHWELL HEALTH, INC.
Recipient Name Raw NORTH SHORE - LIJ HEALTH SYSTEM INC.
Recipient UEI E35GYKN3S8R9
Recipient DUNS 807920368
Recipient Address 145 COMMUNITY DRIVE, GREAT NECK, NASSAU, NEW YORK, 11021, UNITED STATES
Obligated Amount 667561.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C12CS21920 Department of Health and Human Services 93.501 - AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTER CAPITAL EXPENDITURES 2011-07-01 2013-06-30 AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM
Recipient NORTHWELL HEALTH, INC.
Recipient Name Raw NORTH SHORE - LIJ HEALTH SYSTEM INC.
Recipient UEI E35GYKN3S8R9
Recipient DUNS 807920368
Recipient Address 145 COMMUNITY DRIVE, GREAT NECK, NASSAU, NEW YORK, 11021, UNITED STATES
Obligated Amount 474608.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C76HF19731 Department of Health and Human Services 93.887 - HEALTH CARE AND OTHER FACILITIES 2010-09-01 2011-08-31 HEALTH CARE AND OTHER FACILITIES
Recipient NORTHWELL HEALTH, INC.
Recipient Name Raw NORTH SHORE - LIJ HEALTH SYSTEM INC.
Recipient UEI E35GYKN3S8R9
Recipient DUNS 807920368
Recipient Address 145 COMMUNITY DRIVE, GREAT NECK, NASSAU, NEW YORK, 11021, UNITED STATES
Obligated Amount 198000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
W81XWH0620022 Department of Defense 12.420 - MILITARY MEDICAL RESEARCH AND DEVELOPMENT 2006-03-27 2007-03-27 TESTING THE EFFECTIVENESS OF THE NORTH SHORE LIJ HEALTH SYSTEMS BIOTERRORISM RESPONSE PROGRAM TO IDENTIFIED SURVEILLANCE DATA
Recipient NORTHWELL HEALTH, INC.
Recipient Name Raw NORTH SHORE - LONG ISLAND JEWISH HEALTH SYSTE
Recipient UEI E35GYKN3S8R9
Recipient DUNS 807920368
Recipient Address 145 COMMUNITY DR, GREAT NECK, NASSAU, NEW YORK, 11021-5502, UNITED STATES
Obligated Amount -1061.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
347632622 0214700 2024-07-19 PECONIC BAY HOSPITAL 1 HEROES WAY, RIVERHEAD, NY, 11901
Inspection Type Referral
Scope Complete
Safety/Health Safety
Close Conference 2024-07-19
Emphasis N: FALL

Related Activity

Type Referral
Activity Nr 2189697
Safety Yes

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
11-3418133 Corporation Unconditional Exemption 972 BRUSH HOLLOW ROAD 5TH FLOOR, WESTBURY, NY, 11590-1740 1999-01
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above 509(a)(3)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 0
Filing Requirement 990 - Required to file Form 990-N - Income less than $50,000 per year
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 99450112
Income Amount 0
Form 990 Revenue Amount 0
National Taxonomy of Exempt Entities Community Improvement, Capacity Building: Nonprofit Management
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 201712
Filing Type P
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC
EIN 11-3418133
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name NORTHWELL HEALTH INC FORMERLY NS-LIJ HEALTH SYSTEM INC
EIN 11-3418133
Tax Period 201512
Filing Type E
Return Type 990
File View File

Motor Carrier Census

USDOT Number Carrier Operation MCS-150 Form Date MCS-150 Mileage MCS-150 Year Power Units Drivers Operation Classification
3054576 Intrastate Non-Hazmat 2022-05-27 22000 2021 2 4 Private(Property)
Legal Name NORTHWELL HEALTH INC
DBA Name -
Physical Address 2000 MARCUS AVE, NEW HYDE PARK, NY, 11042-1069, US
Mailing Address 2000 MARCUS AVE, NEW HYDE PARK, NY, 11042-1069, US
Phone (516) 396-6410
Fax -
E-mail BSHAHID@NORTHWELL.EDU

Safety Measurement System - All Transportation

Total Number of Inspections for the measurement period (24 months) 3
Driver Fitness BASIC Serious Violation Indicator No
Vehicle Maintenance BASIC Acute/Critical Indicator No
Unsafe Driving BASIC Acute/Critical Indicator No
Driver Fitness BASIC Roadside Performance measure value 0
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value 0
Total Number of Driver Inspections for the measurment period 3
Vehicle Maintenance BASIC Roadside Performance measure value 0
Total Number of Vehicle Inspections for the measurement period 1
Controlled Substances and Alcohol BASIC Roadside Performance measure value 0
Unsafe Driving BASIC Roadside Performance Measure Value 0
Number of inspections with at least one Driver Fitness BASIC violation 0
Number of inspections with at least one Hours-of-Service BASIC violation 0
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation 0
Number of inspections with at least one Vehicle Maintenance BASIC violation 0
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation 0
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation 0
Number of inspections with at least one Unsafe Driving BASIC violation 0

Inspections

Unique report number of the inspection N319530557
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2024-12-23
ID that indicates the level of inspection Full
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 3
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit HINO
License plate of the main unit 89764MK
License state of the main unit NY
Vehicle Identification Number of the main unit JHHHDM2H4JK003102
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Vehicle Maintenance BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 0L10100027
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-10-31
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit INTERNATIO
License plate of the main unit 86474ND
License state of the main unit NY
Vehicle Identification Number of the main unit 1HTEUMML8PS606945
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 0L88000381
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-01-19
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FRHT
License plate of the main unit 91954MM
License state of the main unit NY
Vehicle Identification Number of the main unit 3ALACXD28LDLV0931
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection SPWL011127
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2023-01-12
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit FRHT
License plate of the main unit 15628NA
License state of the main unit NY
Vehicle Identification Number of the main unit 3ALACWDT0EDFY5266
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 1
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 1
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0
Unique report number of the inspection 0L79000263
State abbreviation that indicates the state the inspector is from NY
The date of the inspection 2022-12-31
ID that indicates the level of inspection Driver-Only
State abbreviation that indicates where the inspection occurred NY
Time weight of the inspection 1
Number of Out-Of-Service violations related to Driver 0
Number of Out-Of-Service violations related to vehicle 0
Number of violations related to Hazardous Materials 0
Total number of Out-Of-Service violations 0
Total number of Out-Of-Service violations related to Hazardous Materials 0
Description of the type of the main unit STRAIGHT TRUCK
Description of the make of the main unit ISU
License plate of the main unit 24286MK
License state of the main unit NY
Vehicle Identification Number of the main unit JALC4W165J7007069
Unsafe Driving BASIC inspection Y
Hours-of-Service Compliance BASIC inspection Y
Driver Fitness BASIC inspection Y
Controlled Substances/Alcohol BASIC inspection Y
Total number of BASIC violations 0
Number of Unsafe Driving BASIC violations 0
Number of Hours-of-Service Compliance BASIC violations 0
Number of Driver Fitness BASIC violations 0
Number of Controlled Substances/Alcohol BASIC violations 0
Number of Vehicle Maintenance BASIC violations 0
Number of Hazardous Materials Compliance BASIC violations 0

Violations

The date of the inspection 2023-01-12
Code of the violation 39141A
Name of the BASIC Driver Fitness
The violation is identified as Out-Of-Service violation N
The weight that is assigned to a violation if it's identified as an Out-Of-Service violation 0
The severity weight that is assigned to a violation 1
The time weight that is assigned to a violation 1
The description of a violation Operating a property-carrying vehicle without a valid medical certificate in possession or on file with the state drivers licensing agency. History of either fail
The description of the violation group Medical Certificate
The unit a violation is cited against Driver

Crashes

Unique state report number for the incident NY3989293100
Sequence number for each vehicle involved in a crash 1
The date a incident occurred 2023-06-26
State abbreviation NY
Total number of fatalities reported in the crash 0
Total number of injuries reported in the crash 1
The vehicle involved in the accident was towed from the scene Y
Hazardous materials were released during the accident N
Description of the trafficway One-Way Trafficway Not Divided
Description of the access control Full Control
Description of the road surface condition Dry
Description of the weather condition No Adverse Conditions
Description of the light condition Daylight
Vehicle Identification number (VIN) 1FD0X4HT8MED56606
Vehicle license number 14555EV
Vehicle license state NY
The severity weight that is assigned to the incident 2
The time weight that is assigned to the incident 1
Sequence number 1
Unique state report number for the incident NY3979431500
Sequence number for each vehicle involved in a crash 1
The date a incident occurred 2023-04-13
State abbreviation NY
Total number of fatalities reported in the crash 0
Total number of injuries reported in the crash 1
The vehicle involved in the accident was towed from the scene N
Hazardous materials were released during the accident N
Description of the trafficway Two-Way Trafficway Divided Unprotected Median
Description of the access control Partial Access Control
Description of the road surface condition Dry
Description of the weather condition No Adverse Conditions
Description of the light condition Daylight
Vehicle Identification number (VIN) 1FD0X4HT1KEC46610
Vehicle license number 16305EV
Vehicle license state NY
The severity weight that is assigned to the incident 2
The time weight that is assigned to the incident 1
Sequence number 1

Date of last update: 31 Mar 2025

Sources: New York Secretary of State