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WILLIAM A. FACIBENE, M.D., P.C.

Company Details

Name: WILLIAM A. FACIBENE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Apr 2002 (23 years ago)
Entity Number: 2754762
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: 1999 MARCUS AVENUE, SUITE 102, LAKE SUCCESS, NY, United States, 11042

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
WILLIAM FACIBENE DOS Process Agent 1999 MARCUS AVENUE, SUITE 102, LAKE SUCCESS, NY, United States, 11042

Chief Executive Officer

Name Role Address
WILLIAM FACIBENE Chief Executive Officer 1999 MARCUS AVENUE, SUITE 102, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1871738252

Authorized Person:

Name:
WILLIAM A. FACIBENE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5163527856

Form 5500 Series

Employer Identification Number (EIN):
020612630
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2006-07-18 2020-04-07 Address 1999 MARCUS AVE / SUITE 102, LAKE SUCCESS, NY, 11042, USA (Type of address: Principal Executive Office)
2006-07-18 2020-04-07 Address 1999 MARCUS AVE / SUITE 102, LAKE SUCCESS, NY, 11042, USA (Type of address: Chief Executive Officer)
2006-07-18 2020-04-07 Address 1999 MARCUS AVE / SUITE 102, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)
2004-05-05 2006-07-18 Address 444 LAKEVILLE ROAD, SUITE 202, LAKE SUCCESS, NY, 11042, 1165, USA (Type of address: Chief Executive Officer)
2004-05-05 2006-07-18 Address 444 LAKEVILLE ROAD, SUITE 202, LAKE SUCCESS, NY, 11042, 1165, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200407060179 2020-04-07 BIENNIAL STATEMENT 2020-04-01
140728006196 2014-07-28 BIENNIAL STATEMENT 2014-04-01
120713002302 2012-07-13 BIENNIAL STATEMENT 2012-04-01
100419002048 2010-04-19 BIENNIAL STATEMENT 2010-04-01
080416002413 2008-04-16 BIENNIAL STATEMENT 2008-04-01

Date of last update: 30 Mar 2025

Sources: New York Secretary of State