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LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.

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Company Details

Name: LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jul 2001 (24 years ago)
Entity Number: 2664637
ZIP code: 11577
County: Nassau
Place of Formation: New York
Address: 125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAWN GARBER MD Chief Executive Officer 125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

DOS Process Agent

Name Role Address
LONG ISLAND MINIMALLY INVASIVE SURGERY, P.C. DOS Process Agent 125 MINEOLA AVENUE, STE 200, ROSLYN HEIGHTS, NY, United States, 11577

Links between entities

Type:
Headquarter of
Company Number:
1221221
State:
CONNECTICUT

National Provider Identifier

NPI Number:
1356545867

Authorized Person:

Name:
DR. SHAWN GARBER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8885026582

Form 5500 Series

Employer Identification Number (EIN):
113638939
Plan Year:
2019
Number Of Participants:
65
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
37
Sponsors Telephone Number:

History

Start date End date Type Value
2024-11-23 2025-02-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-20 2024-11-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-05-09 2024-06-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-20 2024-05-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-02-22 2024-03-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230706003645 2023-07-06 BIENNIAL STATEMENT 2023-07-01
230223000026 2023-02-23 BIENNIAL STATEMENT 2021-07-01
190709060253 2019-07-09 BIENNIAL STATEMENT 2019-07-01
171226000211 2017-12-26 CERTIFICATE OF AMENDMENT 2017-12-26
150701006507 2015-07-01 BIENNIAL STATEMENT 2015-07-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State