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PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C.

PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C.

Company Details

Name:	PARK SLOPE HEMATOLOGY AND ONCOLOGY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	11 Aug 2000 (25 years ago)
Entity Number:	2541523
ZIP code:	11215
County:	Kings
Place of Formation:	New York
Address:	506 SIXTH STREET, BROOKLYN, NY, United States, 11215
Principal Address:	506 SIXTH ST, BROOKLYN, NY, United States, 11215

Shares Details

Shares issued 200

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name	Role	Address
C/O THE NEW YORK METHODIST HOSPITAL	DOS Process Agent	506 SIXTH STREET, BROOKLYN, NY, United States, 11215

Chief Executive Officer

Name	Role	Address
STEPHEN J. PETERSON, MD	Chief Executive Officer	506 SIXTH ST, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:

1174574503

Certification Date:

2022-12-06

Link:

View on NPI website

Authorized Person:

Name:

HARVEY DOSIK

Role:

DIRECTOR

Phone:

7187805240

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Selected Taxonomy:

207RH0003X - Hematology & Oncology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-780-5240

Fax:

7187807337

History

Start date	End date	Type	Value
2004-09-24	2017-08-15	Address	506 SIXTH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
170815006035	2017-08-15	BIENNIAL STATEMENT	2016-08-01
120905002019	2012-09-05	BIENNIAL STATEMENT	2012-08-01
100831002765	2010-08-31	BIENNIAL STATEMENT	2010-08-01
080813002904	2008-08-13	BIENNIAL STATEMENT	2008-08-01
060822002985	2006-08-22	BIENNIAL STATEMENT	2006-08-01

Tax Exempt

Employer Identification Number (EIN) :

11-3564621

In Care Of Name:

% MICHAEL FAGAN

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2001-05

National Taxonomy Of Exempt Entities:

Health Care: Health Treatment Facilities, Primarily Outpatient

Deductibility:

Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 30 Mar 2025

Sources: New York Secretary of State