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DANIEL S. DE BLASIO, M.D., P.C.

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Company Details

Name: DANIEL S. DE BLASIO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 03 Nov 2000 (25 years ago)
Date of dissolution: 03 Feb 2020
Entity Number: 2570585
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: 830 WASHINGTON STREET, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DANIEL S. DE BLASIO, MD Chief Executive Officer 830 WASHINGTON STREET, WATERTOWN, NY, United States, 13601

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 830 WASHINGTON STREET, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1750376646

Authorized Person:

Name:
DANIEL S DEBLASIO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2085R0001X - Radiation Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
3154462936
Fax:
3157854542

History

Start date End date Type Value
2003-01-15 2006-12-15 Address 830 WASHINGTON ST, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
2003-01-15 2006-12-15 Address 830 WASHINGTON ST, WATERTOWN, NY, 13601, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
200203000446 2020-02-03 CERTIFICATE OF DISSOLUTION 2020-02-03
161101007628 2016-11-01 BIENNIAL STATEMENT 2016-11-01
141215006177 2014-12-15 BIENNIAL STATEMENT 2014-11-01
121116002227 2012-11-16 BIENNIAL STATEMENT 2012-11-01
101109002031 2010-11-09 BIENNIAL STATEMENT 2010-11-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State