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KIP L. BODI, PHYSICIAN, FACS, PLLC

Company Details

Name: KIP L. BODI, PHYSICIAN, FACS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Feb 2000 (25 years ago)
Entity Number: 2468052
ZIP code: 11724
County: Suffolk
Place of Formation: New York
Address: BOX 235, COLD SPRING HARBOR, NY, United States, 11724

Agent

Name Role Address
KIP L. BODI, PHYSICIAN, FACS Agent 634 PARK AVENUE, HUNTINGTON, NY, 11743

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent BOX 235, COLD SPRING HARBOR, NY, United States, 11724

National Provider Identifier

NPI Number:
1033340013

Authorized Person:

Name:
DR. KIP L BODI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6312711968

Filings

Filing Number Date Filed Type Effective Date
140212006357 2014-02-12 BIENNIAL STATEMENT 2014-02-01
120329002731 2012-03-29 BIENNIAL STATEMENT 2012-02-01
100305002975 2010-03-05 BIENNIAL STATEMENT 2010-02-01
080206002467 2008-02-06 BIENNIAL STATEMENT 2008-02-01
060202002146 2006-02-02 BIENNIAL STATEMENT 2006-02-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State