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ROGER KOREEN, M.D., P.C.

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Company Details

Name: ROGER KOREEN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 May 1998 (27 years ago)
Entity Number: 2264412
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 28 ELM STREET, HUNTINGTON, NY, United States, 11743
Principal Address: 107 WOODBURY ROAD, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 28 ELM STREET, HUNTINGTON, NY, United States, 11743

Chief Executive Officer

Name Role Address
ROGER KOREEN MD Chief Executive Officer 107 WOODBURY ROAD, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1649343914

Authorized Person:

Name:
DR. ROGER KOREEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6314211914

Form 5500 Series

Employer Identification Number (EIN):
113439413
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
1998-05-29 2014-08-25 Address 107 WOODBURY ROAD, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140825000817 2014-08-25 CERTIFICATE OF CHANGE 2014-08-25
060510002606 2006-05-10 BIENNIAL STATEMENT 2006-05-01
040513002570 2004-05-13 BIENNIAL STATEMENT 2004-05-01
020430002691 2002-04-30 BIENNIAL STATEMENT 2002-05-01
000510002500 2000-05-10 BIENNIAL STATEMENT 2000-05-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State