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BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.

Company Details

Name: BON SECOURS CHARITY HEALTH SYSTEM MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Feb 1999 (26 years ago)
Entity Number: 2340730
ZIP code: 10801
County: Orange
Place of Formation: New York
Principal Address: 255 LAFAYETTE AVENUE, SUFFERN, NY, United States, 10901
Address: 255 LAFAYETTE AVENUE, SUFFERN, NY, United States, 10801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARY P LEAHY Chief Executive Officer 255 LAFAYETTE AVENUE, SUFFERN, NY, United States, 10901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 255 LAFAYETTE AVENUE, SUFFERN, NY, United States, 10801

National Provider Identifier

NPI Number:
1487694345
Certification Date:
2021-07-14

Authorized Person:

Name:
LAURI QUIGLEY
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No

Contacts:

Fax:
8459875979

History

Start date End date Type Value
2024-03-14 2024-04-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-21 2024-03-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-04-07 2023-06-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-12-08 2023-04-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-11-15 2021-12-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
200123002015 2020-01-23 BIENNIAL STATEMENT 2019-02-01
180817002018 2018-08-17 BIENNIAL STATEMENT 2017-02-01
110124000090 2011-01-24 CERTIFICATE OF AMENDMENT 2011-01-24
101208003209 2010-12-08 BIENNIAL STATEMENT 2009-02-01
100630000384 2010-06-30 CERTIFICATE OF AMENDMENT 2010-06-30

Date of last update: 31 Mar 2025

Sources: New York Secretary of State