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WESTCHESTER-PUTNAM GASTROENTEROLOGY P.C.

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Company Details

Name: WESTCHESTER-PUTNAM GASTROENTEROLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Dec 1998 (26 years ago)
Entity Number: 2328606
ZIP code: 10512
County: Putnam
Place of Formation: New York
Address: BARNS OFFICE CENTER / STE A201, 667 STONLEIGH AVE, CARMEL, NY, United States, 10512

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MICHAEL KUSHNER, MD Chief Executive Officer BARNS OFFICE CENTER / STE A201, 667 STONELEIGH AVE, CARMEL, NY, United States, 10512

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent BARNS OFFICE CENTER / STE A201, 667 STONLEIGH AVE, CARMEL, NY, United States, 10512

National Provider Identifier

NPI Number:
1740298405
Certification Date:
2025-03-06

Authorized Person:

Name:
DR. SUNIL GUPTA
Role:
DIRECT OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
No
Selected Taxonomy:
261QR0200X - Radiology Clinic/Center
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
No

Contacts:

Fax:
8452784579

Form 5500 Series

Employer Identification Number (EIN):
061532006
Plan Year:
2010
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
23
Sponsors Telephone Number:

History

Start date End date Type Value
2002-12-04 2008-12-08 Address BARNS OFFICE CENTER / STE A201, 667 STONELEIGH AVE, CARMEL, NY, 10512, USA (Type of address: Chief Executive Officer)
2000-11-28 2002-12-04 Address BARNS OFFICE CENTER / STE N115, 667 STONELEIGH AVE, CARMEL, NY, 10512, USA (Type of address: Chief Executive Officer)
2000-11-28 2002-12-04 Address BARNS OFFICE CENTER / STE N115, 667 STONLEIGH AVE, CARMEL, NY, 10512, USA (Type of address: Principal Executive Office)
2000-11-28 2002-12-04 Address BARNS OFFICE CENTER / STE N115, 667 STONLEIGH AVE, CARMEL, NY, 10512, USA (Type of address: Service of Process)
1998-12-28 2021-12-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
081208003262 2008-12-08 BIENNIAL STATEMENT 2008-12-01
061204002671 2006-12-04 BIENNIAL STATEMENT 2006-12-01
050113002009 2005-01-13 BIENNIAL STATEMENT 2004-12-01
021204002070 2002-12-04 BIENNIAL STATEMENT 2002-12-01
001128002489 2000-11-28 BIENNIAL STATEMENT 2000-12-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State