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JOSEPH TAVERNI M.D., P.C.

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Company Details

Name: JOSEPH TAVERNI M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Mar 2002 (23 years ago)
Entity Number: 2748311
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 1000 NORTHERN BLVD, STE 360, GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOSEPH TAVERNI Chief Executive Officer 1000 NORTHERN BLVD, STE 360, GREAT NECK, NY, United States, 11021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1000 NORTHERN BLVD, STE 360, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1912178385

Authorized Person:

Name:
DR. JOSEPH PATRICK TAVERNI
Role:
PRESIDENT/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5164827748

History

Start date End date Type Value
2002-03-28 2004-03-15 Address 1 BAY CLUB DRIVE, #7A, BAYSIDE, NY, 11360, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140318006552 2014-03-18 BIENNIAL STATEMENT 2014-03-01
120426003108 2012-04-26 BIENNIAL STATEMENT 2012-03-01
100409002625 2010-04-09 BIENNIAL STATEMENT 2010-03-01
080312002819 2008-03-12 BIENNIAL STATEMENT 2008-03-01
060407002974 2006-04-07 BIENNIAL STATEMENT 2006-03-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State