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KENNETH H. PETERSEL, M.D., P.C.

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Company Details

Name: KENNETH H. PETERSEL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Jul 2001 (24 years ago)
Entity Number: 2657724
ZIP code: 11554
County: Nassau
Place of Formation: New York
Address: 1617 FRONT STREET, EAST MEADOW, NY, United States, 11554

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KENNETH H DETERSEL MD Chief Executive Officer 1617 FRONT STREET, EAST MEADOW, NY, United States, 11554

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1617 FRONT STREET, EAST MEADOW, NY, United States, 11554

National Provider Identifier

NPI Number:
1750544771

Authorized Person:

Name:
LOIS PETERSEL
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
113620623
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
130716002359 2013-07-16 BIENNIAL STATEMENT 2013-07-01
090710002714 2009-07-10 BIENNIAL STATEMENT 2009-07-01
070724002382 2007-07-24 BIENNIAL STATEMENT 2007-07-01
050901002103 2005-09-01 BIENNIAL STATEMENT 2005-07-01
030702002483 2003-07-02 BIENNIAL STATEMENT 2003-07-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State