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EDWARD M. TIMMINS, D.O., P.C.

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Company Details

Name: EDWARD M. TIMMINS, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jun 1998 (27 years ago)
Entity Number: 2268650
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 580 UNION BLVD, WEST ISLIP, NY, United States, 11795

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 580 UNION BLVD, WEST ISLIP, NY, United States, 11795

Chief Executive Officer

Name Role Address
EDWARD M TIMMINS DO Chief Executive Officer 580 UNION BLVD, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1538331046

Authorized Person:

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

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313213869

History

Start date End date Type Value
2000-06-26 2006-06-07 Address 375 EAST MAIN ST, STE 26, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2000-06-26 2006-06-07 Address 375 EAST MAIN ST, STE 26, BAY SHORE, NY, 11706, USA (Type of address: Principal Executive Office)
1998-06-11 2006-06-07 Address 375 EAST MAIN STREET, SUITE 26, BAY SHORE, NY, 11706, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120828002582 2012-08-28 BIENNIAL STATEMENT 2012-06-01
100701002439 2010-07-01 BIENNIAL STATEMENT 2010-06-01
080721003006 2008-07-21 BIENNIAL STATEMENT 2008-06-01
060607002935 2006-06-07 BIENNIAL STATEMENT 2006-06-01
040628002763 2004-06-28 BIENNIAL STATEMENT 2004-06-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State