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THOMAS F. JAN, D.O., P.C.

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Company Details

Name: THOMAS F. JAN, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Sep 1998 (27 years ago)
Entity Number: 2300957
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 4200 SUNRISE HIGHWAY, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4200 SUNRISE HIGHWAY, MASSAPEQUA, NY, United States, 11758

Chief Executive Officer

Name Role Address
THOMAS F. JAN Chief Executive Officer 4200 SUNRISE HIGHWAY, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1639402092

Authorized Person:

Name:
DR. THOMAS F. JAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5167989070

Filings

Filing Number Date Filed Type Effective Date
141105006047 2014-11-05 BIENNIAL STATEMENT 2014-09-01
130318002477 2013-03-18 BIENNIAL STATEMENT 2012-09-01
100921003242 2010-09-21 BIENNIAL STATEMENT 2010-09-01
080825003618 2008-08-25 BIENNIAL STATEMENT 2008-09-01
060828002783 2006-08-28 BIENNIAL STATEMENT 2006-09-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State