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SOUTH BAY UROLOGIC ASSOCIATES P.C.

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Company Details

Name: SOUTH BAY UROLOGIC ASSOCIATES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 05 Nov 1998 (27 years ago)
Date of dissolution: 28 Apr 2010
Entity Number: 2313383
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 747 MONTAUK HIGHWAY, 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 747 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795

Chief Executive Officer

Name Role Address
ROBERT BERSON MD Chief Executive Officer 747 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1972711950

Authorized Person:

Name:
DR. ROBERT J BERSON
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6315874938

History

Start date End date Type Value
2000-11-14 2002-10-24 Address 747 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2000-11-14 2002-10-24 Address 747 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
100428000036 2010-04-28 CERTIFICATE OF DISSOLUTION 2010-04-28
081023002227 2008-10-23 BIENNIAL STATEMENT 2008-11-01
061107002356 2006-11-07 BIENNIAL STATEMENT 2006-11-01
041220002629 2004-12-20 BIENNIAL STATEMENT 2004-11-01
021024002722 2002-10-24 BIENNIAL STATEMENT 2002-11-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State