| Name: | ENGRACIA O. LAZATIN, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 27 Jun 2002 (23 years ago) |
| Entity Number: | 2783486 |
| ZIP code: | 11590 |
| County: | Nassau |
| Place of Formation: | New York |
| Principal Address: | 1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, United States, 11590 |
| Address: | 1065 OLD COUNTRY ROAD, SUITE 214, WESTBURY, NY, United States, 11590 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| ENGRACIA O. LAZATIN, M.D. | DOS Process Agent | 1065 OLD COUNTRY ROAD, SUITE 214, WESTBURY, NY, United States, 11590 |
| Name | Role | Address |
|---|---|---|
| ENGRACIA LAZATIN | Chief Executive Officer | 1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, United States, 11590 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2018-06-14 | 2020-06-08 | Address | 1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process) |
| 2006-05-31 | 2018-06-14 | Address | 1065 OLD COUNTRY RD, SUITE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process) |
| 2004-08-17 | 2006-05-31 | Address | 1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer) |
| 2004-08-17 | 2006-05-31 | Address | 1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Principal Executive Office) |
| 2004-08-17 | 2006-05-31 | Address | 1065 OLD COUNTRY RD, STE 214, WESTBURY, NY, 11590, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 200608060320 | 2020-06-08 | BIENNIAL STATEMENT | 2020-06-01 |
| 180614006103 | 2018-06-14 | BIENNIAL STATEMENT | 2018-06-01 |
| 160606006600 | 2016-06-06 | BIENNIAL STATEMENT | 2016-06-01 |
| 140709006054 | 2014-07-09 | BIENNIAL STATEMENT | 2014-06-01 |
| 120724002633 | 2012-07-24 | BIENNIAL STATEMENT | 2012-06-01 |
Date of last update: 30 Mar 2025
Sources: New York Secretary of State
