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MICHAEL J. SACCA, M.D., P.C.

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Company Details

Name: MICHAEL J. SACCA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Mar 1998 (27 years ago)
Entity Number: 2238751
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 375 EAST MAIN STREET SUITE 26, BAY SHORE, NY, United States, 11706
Principal Address: 375 E. MAIN STREET, SUITE 26, BAY SHORE, NY, United States, 11946

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 375 EAST MAIN STREET SUITE 26, BAY SHORE, NY, United States, 11706

Chief Executive Officer

Name Role Address
MICHAEL J. SACCA MD Chief Executive Officer 375 E. MAIN STREET, SUITE 26, BAY SHORE, NY, United States, 11946

National Provider Identifier

NPI Number:
1104098698

Authorized Person:

Name:
MS. DENISE M. BELLO
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313213869

Filings

Filing Number Date Filed Type Effective Date
040324002336 2004-03-24 BIENNIAL STATEMENT 2004-03-01
000502002075 2000-05-02 BIENNIAL STATEMENT 2000-03-01
980316000190 1998-03-16 CERTIFICATE OF INCORPORATION 1998-03-16

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State