| Name: | SHAHRIAR J. KHALILI, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 04 Jun 1998 (27 years ago) |
| Entity Number: | 2266081 |
| ZIP code: | 11772 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 285 SILLS ROAD, BLDG #14, PATCHOGUE, NY, United States, 11772 |
| Principal Address: | 285 SILLS RD, BLDG #14, EAST PATCHOGUE, NY, United States, 11772 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| SHAHRIAR J. KHALILI, M.D. | Agent | 285 SILLS ROAD, PATCHOGUE, NY, 11772 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 285 SILLS ROAD, BLDG #14, PATCHOGUE, NY, United States, 11772 |
| Name | Role | Address |
|---|---|---|
| SHAHRIAR J. KHALILI, M.D. | Chief Executive Officer | 285 SILLS RD, BLDG #14, EAST PATCHOGUE, NY, United States, 11772 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2000-06-05 | 2006-05-24 | Address | 285 SILLS RD, BLDG 9 SUITE A, EAST PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer) |
| 2000-06-05 | 2006-05-24 | Address | 285 SILLS RD, BLDG 9 SUITE A, EAST PATCHOGUE, NY, 11772, USA (Type of address: Principal Executive Office) |
| 1998-06-04 | 2006-05-24 | Address | 285 SILLS ROAD, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 120613006132 | 2012-06-13 | BIENNIAL STATEMENT | 2012-06-01 |
| 100708002682 | 2010-07-08 | BIENNIAL STATEMENT | 2010-06-01 |
| 080624002851 | 2008-06-24 | BIENNIAL STATEMENT | 2008-06-01 |
| 060524003764 | 2006-05-24 | BIENNIAL STATEMENT | 2006-06-01 |
| 040628002684 | 2004-06-28 | BIENNIAL STATEMENT | 2004-06-01 |
| 000605002496 | 2000-06-05 | BIENNIAL STATEMENT | 2000-06-01 |
| 980604000304 | 1998-06-04 | CERTIFICATE OF INCORPORATION | 1998-06-04 |
Date of last update: 20 Jan 2025
Sources: New York Secretary of State
