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WYCKOFF EMERGENCY MEDICINE SERVICES, P.C.

Company Details

Name: WYCKOFF EMERGENCY MEDICINE SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jun 1999 (26 years ago)
Entity Number: 2393591
ZIP code: 11237
County: Kings
Place of Formation: New York
Address: LISANDRO IRIZARRY, MD, 374 STOCKHOLM ST., BROOKLYN, NY, United States, 11237
Principal Address: 374 STOCKHOLM ST, BROOKLYN, NY, United States, 11237

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LISANDRO IRIZARRY, MD Chief Executive Officer 374 STOCKHOLM ST., BROOKLYN, NY, United States, 11237

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent LISANDRO IRIZARRY, MD, 374 STOCKHOLM ST., BROOKLYN, NY, United States, 11237

National Provider Identifier

NPI Number:
1154369783

Authorized Person:

Name:
DR. LISANDRO IRIZARRY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-11-09 2024-12-13 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2023-07-19 2023-11-09 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2023-05-19 2023-07-19 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2021-06-30 2023-05-19 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 1
2015-06-12 2023-07-20 Address 374 STOCKHOLM ST., BROOKLYN, NY, 11237, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
230720004542 2023-07-19 CERTIFICATE OF AMENDMENT 2023-07-19
150612002019 2015-06-12 BIENNIAL STATEMENT 2015-06-01
130708002095 2013-07-08 BIENNIAL STATEMENT 2013-06-01
110913002267 2011-09-13 BIENNIAL STATEMENT 2011-06-01
090722002203 2009-07-22 BIENNIAL STATEMENT 2009-06-01

Tax Exempt

Employer Identification Number (EIN) :
11-3495935
In Care Of Name:
% JEANETTE VIAGGIO
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Scientific Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2024-02
National Taxonomy Of Exempt Entities:
Voluntary Health Associations & Medical Disciplines: Medical Disciplines
Deductibility:
Type of organization and use of contribution: A Type I, Type II, or functionally integrated Type III supporting organization. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Date of last update: 31 Mar 2025

Sources: New York Secretary of State