| Name: | FAMILY MEDICAL PRACTICE OF LONG ISLAND, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 10 Feb 1999 (26 years ago) |
| Entity Number: | 2344414 |
| ZIP code: | 11758 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | PO BOX 230, MASSAPEQUA, NY, United States, 11758 |
| Principal Address: | 253 BROADWAY, AMITYVILLE, NY, United States, 11701 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| ROBERT POLOFSKY | Chief Executive Officer | 253 BROADWAY, AMITYVILLE, NY, United States, 11701 |
| Name | Role | Address |
|---|---|---|
| FAMILY MEDICAL PRACTICE OF LONG ISLAND, P.C. | DOS Process Agent | PO BOX 230, MASSAPEQUA, NY, United States, 11758 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2019-02-07 | 2021-02-01 | Address | PO BOX 230, #207, MASAPEQUA, NY, 11758, USA (Type of address: Service of Process) |
| 2017-02-01 | 2019-02-07 | Address | 20 TOLLGATE DR, #207, EAST NORTHPORT, NY, 11731, USA (Type of address: Service of Process) |
| 2003-02-13 | 2017-02-01 | Address | 221 BROADWAY, #207, AMITYVILLE, NY, 11701, USA (Type of address: Service of Process) |
| 2001-05-14 | 2003-02-13 | Address | 20 TOLLGATE DR, EAST NORTHPORT, NY, 11731, USA (Type of address: Principal Executive Office) |
| 2001-05-14 | 2021-02-01 | Address | 20 TOLLGATE DR, EAST NORTHPORT, NY, 11731, USA (Type of address: Chief Executive Officer) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210201061185 | 2021-02-01 | BIENNIAL STATEMENT | 2021-02-01 |
| 190207060466 | 2019-02-07 | BIENNIAL STATEMENT | 2019-02-01 |
| 170201006599 | 2017-02-01 | BIENNIAL STATEMENT | 2017-02-01 |
| 150204006258 | 2015-02-04 | BIENNIAL STATEMENT | 2015-02-01 |
| 130208006170 | 2013-02-08 | BIENNIAL STATEMENT | 2013-02-01 |
Date of last update: 31 Mar 2025
Sources: New York Secretary of State
