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EASTSIDE MEDICAL ASSOCIATES, P.C.

Company Details

Name: EASTSIDE MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Sep 1999 (26 years ago)
Entity Number: 2420523
ZIP code: 11021
County: New York
Place of Formation: New York
Address: 445 NORTHERN BLVD., GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O LAWRENCE BROCHIN, ESQ. DOS Process Agent 445 NORTHERN BLVD., GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1528188430
Certification Date:
2023-03-06

Authorized Person:

Name:
JEFFREY M. LORIA
Role:
PRACTICE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207K00000X - Allergy & Immunology Physician
Is Primary:
No
Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RA0201X - Allergy & Immunology (Internal Medicine) Physician
Is Primary:
No

Contacts:

Fax:
2125174077

Form 5500 Series

Employer Identification Number (EIN):
113524575
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
990920000886 1999-09-20 CERTIFICATE OF INCORPORATION 1999-09-20

Date of last update: 31 Mar 2025

Sources: New York Secretary of State