| Name: | SUSAN S. BLUM, M.D., M.P.H., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 11 Sep 2001 (24 years ago) |
| Entity Number: | 2679342 |
| ZIP code: | 10504 |
| County: | Westchester |
| Place of Formation: | New York |
| Principal Address: | 1241 MAMARONECK AVE, WHITE PLAINS, NY, United States, 10605 |
| Address: | 3 INDIAN TRAIL, ARMONK, NY, United States, 10504 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| SUSAN BLUM | DOS Process Agent | 3 INDIAN TRAIL, ARMONK, NY, United States, 10504 |
| Name | Role | Address |
|---|---|---|
| SUSAN BLUM | Chief Executive Officer | 1241 MAMARONECK AVE, WHITE PLAINS, NY, United States, 10605 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2003-10-14 | 2005-11-10 | Address | 455 CENTRAL PARK AVE, SCARSDALE, NY, 10583, USA (Type of address: Chief Executive Officer) |
| 2003-10-14 | 2005-11-10 | Address | 3 INDIAN TRAIL, ARMONK, NY, 10504, USA (Type of address: Principal Executive Office) |
| 2003-01-17 | 2005-11-10 | Address | SUSAN BLUM, 3 INDIAN TRAIL, ARMONK, NY, 10504, USA (Type of address: Service of Process) |
| 2001-09-11 | 2003-01-17 | Address | SUSAN S. BLUM, 16 KENSINGTON ROAD, SCARSDALE, NY, 10583, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 070904002152 | 2007-09-04 | BIENNIAL STATEMENT | 2007-09-01 |
| 051110002553 | 2005-11-10 | BIENNIAL STATEMENT | 2005-09-01 |
| 031014002625 | 2003-10-14 | BIENNIAL STATEMENT | 2003-09-01 |
| 030117000883 | 2003-01-17 | CERTIFICATE OF AMENDMENT | 2003-01-17 |
| 010911000080 | 2001-09-11 | CERTIFICATE OF INCORPORATION | 2001-09-11 |
Date of last update: 30 Mar 2025
Sources: New York Secretary of State
