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VICTORY INTERNAL MEDICINE, P.C.

Company Details

Name: VICTORY INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Mar 2000 (25 years ago)
Entity Number: 2485849
ZIP code: 10314
County: Richmond
Place of Formation: New York
Principal Address: 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314
Address: 2315 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Contact Details

Phone +1 718-720-9600

Phone +1 718-226-9000

Phone +1 718-967-6700

Phone +1 718-448-9000

Phone +1 718-682-1580

Phone +1 718-477-1900

Phone +1 718-818-1234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2315 VICTORY BOULEVARD, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
SHYE WORTMAN Chief Executive Officer 2315 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1831129865

Authorized Person:

Name:
DR. SHYE WORTMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
134114612
Plan Year:
2014
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
48
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
24
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140721002234 2014-07-21 BIENNIAL STATEMENT 2014-03-01
120420002189 2012-04-20 BIENNIAL STATEMENT 2012-03-01
100611002481 2010-06-11 BIENNIAL STATEMENT 2010-03-01
080303003129 2008-03-03 BIENNIAL STATEMENT 2008-03-01
060327003180 2006-03-27 BIENNIAL STATEMENT 2006-03-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State