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SOUTH ISLAND MEDICAL CARE, P.C.

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Company Details

Name: SOUTH ISLAND MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Feb 2002 (23 years ago)
Entity Number: 2732665
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: 76 SOUTHAVEN AVE, STE 5, MEDFORD, NY, United States, 11763

Contact Details

Phone +1 631-447-8860

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 76 SOUTHAVEN AVE, STE 5, MEDFORD, NY, United States, 11763

Chief Executive Officer

Name Role Address
M HANI SALAM, MD Chief Executive Officer 76 SOUTHAVEN AVE, STE 5, MEDFORD, NY, United States, 11763

National Provider Identifier

NPI Number:
1306841911

Authorized Person:

Name:
DR. M HANI SALAM
Role:
PRESIDENT/ SOLO PRACTICE
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6314478862

History

Start date End date Type Value
2008-02-08 2010-03-22 Address 76 SOUTHAVEN AVE, STE 5, MEDFORD, NY, 11763, USA (Type of address: Chief Executive Officer)
2006-03-06 2008-02-08 Address 44 MEDFORD AVE, PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer)
2006-03-06 2008-02-08 Address 44 MEDFORD AVE, PATCHOGUE, NY, 11772, USA (Type of address: Principal Executive Office)
2002-02-19 2008-02-08 Address 44 MEDFORD AVENUE, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140424002587 2014-04-24 BIENNIAL STATEMENT 2014-02-01
120405002191 2012-04-05 BIENNIAL STATEMENT 2012-02-01
100322002436 2010-03-22 BIENNIAL STATEMENT 2010-02-01
080208002937 2008-02-08 BIENNIAL STATEMENT 2008-02-01
060306003043 2006-03-06 BIENNIAL STATEMENT 2006-02-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State