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FINGER LAKES ANESTHESIA GROUP, P.C.

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Company Details

Name: FINGER LAKES ANESTHESIA GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 19 Oct 2001 (24 years ago)
Date of dissolution: 07 Apr 2010
Entity Number: 2690542
ZIP code: 14850
County: Chemung
Place of Formation: New York
Address: 301 S GENEVA ST, SUITE 107, ITHACA, NY, United States, 14850

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARY F NEVIN MD Chief Executive Officer 301 S GENEVA ST, SUITE 107, ITHACA, NY, United States, 14850

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 301 S GENEVA ST, SUITE 107, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1972595908

Authorized Person:

Name:
KAREN REED
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
3154452936
Fax:
6077371514

Form 5500 Series

Employer Identification Number (EIN):
161614470
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2001-10-19 2005-12-06 Address 215 ELMWOOD AVENUE, ELMIRA HEIGHTS, NY, 14903, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100407000632 2010-04-07 CERTIFICATE OF DISSOLUTION 2010-04-07
091021002709 2009-10-21 BIENNIAL STATEMENT 2009-10-01
071029002970 2007-10-29 BIENNIAL STATEMENT 2007-10-01
051206002973 2005-12-06 BIENNIAL STATEMENT 2005-10-01
011019000070 2001-10-19 CERTIFICATE OF INCORPORATION 2001-10-19

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State