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GREAT SOUTH BAY FAMILY MEDICAL PRACTICE, LLP

Company Details

Name: GREAT SOUTH BAY FAMILY MEDICAL PRACTICE, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 13 Apr 2000 (25 years ago)
Date of dissolution: 12 Aug 2024
Entity Number: 2498368
ZIP code: 11796
County: Blank
Place of Formation: New York
Address: 213 MONTAUK HIGHWAY, WEST SAYVILLE, NY, United States, 11796

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 213 MONTAUK HIGHWAY, WEST SAYVILLE, NY, United States, 11796

National Provider Identifier

NPI Number:
1588824981

Authorized Person:

Name:
MR. JULIE WESTBAY
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6315637718

History

Start date End date Type Value
2010-04-01 2024-08-12 Address 213 MONTAUK HIGHWAY, WEST SAYVILLE, NY, 11796, USA (Type of address: Service of Process)
2000-04-13 2010-04-01 Address ATTN: JOSEPH G. MILIZIO ESQ, 3000 MARCUS AVENUE STE 1E9, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240812000525 2024-08-02 NOTICE OF WITHDRAWAL 2024-08-02
200313002002 2020-03-13 FIVE YEAR STATEMENT 2020-04-01
150211002100 2015-02-11 FIVE YEAR STATEMENT 2015-04-01
100401002736 2010-04-01 FIVE YEAR STATEMENT 2010-04-01
050621002040 2005-06-21 FIVE YEAR STATEMENT 2005-04-01

Date of last update: 31 Mar 2025

Sources: New York Secretary of State