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SOUTH NASSAU FAMILY MEDICINE, P.C.

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Company Details

Name: SOUTH NASSAU FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jul 2000 (25 years ago)
Entity Number: 2535472
ZIP code: 11572
County: Nassau
Place of Formation: New York
Address: ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, United States, 11572

Contact Details

Phone +1 516-544-2351

Phone +1 516-485-5710

Phone +1 516-255-8400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SOUTH NASSAU FAMILY MEDICINE, P.C. DOS Process Agent ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, United States, 11572

Chief Executive Officer

Name Role Address
SAMUEL SANDOWSKI, M.D Chief Executive Officer ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, United States, 11572

National Provider Identifier

NPI Number:
1902891781

Authorized Person:

Name:
DR. SCOTT IPPOLITO
Role:
CHAIRMAN
Phone:

Taxonomy:

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

Contacts:

Fax:
5162554672
Fax:
5162558453

History

Start date End date Type Value
2024-07-29 2024-07-29 Address ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)
2022-04-14 2024-07-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-04-23 2024-07-29 Address ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, 11572, USA (Type of address: Service of Process)
2021-04-23 2024-07-29 Address ONE HEALTHY WAY, ATTN: MSO/PHYSICIAN SERVICES, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)
2018-07-10 2021-04-23 Address ONE HEALTHY WAY, ATTN: MARK BOGEN, OCEANSIDE, NY, 11572, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240729001304 2024-07-29 BIENNIAL STATEMENT 2024-07-29
220719000847 2022-07-19 BIENNIAL STATEMENT 2022-07-01
210423060272 2021-04-23 BIENNIAL STATEMENT 2020-07-01
180710006350 2018-07-10 BIENNIAL STATEMENT 2018-07-01
171121006266 2017-11-21 BIENNIAL STATEMENT 2016-07-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State