| Name: | PHYSICIANS CREDENTIALING AND DATA SERVICES, INC. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC BUSINESS CORPORATION |
| Status: | Inactive |
| Date of registration: | 07 Apr 2000 (25 years ago) |
| Date of dissolution: | 30 Jun 2004 |
| Entity Number: | 2496064 |
| ZIP code: | 11969 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 238 OLD TOWN RD, PO BOX 2340, SOUTHAMPTON, NY, United States, 11969 |
| Principal Address: | 238 OLD TOWN RD, SOUTHAMPTON, NY, United States, 11968 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| MICHAEL ISRAEL MD | Chief Executive Officer | 238 OLD TOWN RD, PO BOX 2340, SOUTHAMPTON, NY, United States, 11969 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 238 OLD TOWN RD, PO BOX 2340, SOUTHAMPTON, NY, United States, 11969 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2000-04-07 | 2002-04-08 | Address | 238 OLD TOWN ROAD, POST OFFICE BOX 2340, SOUTHAMPTON, NY, 11969, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| DP-1718692 | 2004-06-30 | DISSOLUTION BY PROCLAMATION | 2004-06-30 |
| 020408002465 | 2002-04-08 | BIENNIAL STATEMENT | 2002-04-01 |
| 000407000103 | 2000-04-07 | CERTIFICATE OF INCORPORATION | 2000-04-07 |
Date of last update: 02 Jan 2025
Sources: New York Secretary of State
