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EMERGENCY MEDICAL ASSOCIATION OF NEW YORK, P.C.

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Company Details

Name: EMERGENCY MEDICAL ASSOCIATION OF NEW YORK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Dec 2002 (23 years ago)
Entity Number: 2845679
ZIP code: 12207
County: Westchester
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207
Principal Address: 20 Burton Hills Blvd, Ste 500, Nashville, TN, United States, 37215

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RUSSELL H. HARRIS MD Chief Executive Officer 20 BURTON HILLS BLVD, STE 500, NASHVILLE, TN, United States, 37215

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Unique Entity ID

CAGE Code:
6PF97
UEI Expiration Date:
2021-03-19

Business Information

Activation Date:
2020-03-19
Initial Registration Date:
2012-02-27

National Provider Identifier

NPI Number:
1952356347
Certification Date:
2025-01-14

Authorized Person:

Name:
KAREN VAUGHN
Role:
OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4843425201

History

Start date End date Type Value
2024-12-03 2025-01-08 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2024-12-03 2024-12-03 Address 7700 W. SUNRISE BOULEVARD, PLANTATION, FL, 33322, USA (Type of address: Chief Executive Officer)
2024-12-03 2024-12-03 Address 20 BURTON HILLS BLVD, STE 500, NASHVILLE, TN, 37215, USA (Type of address: Chief Executive Officer)
2024-12-03 2024-12-03 Address 1A BURTON HILLS BLVD, NASHVILLE, TN, 37215, USA (Type of address: Chief Executive Officer)
2023-06-01 2024-12-03 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241203001266 2024-12-03 BIENNIAL STATEMENT 2024-12-03
221209002460 2022-12-09 BIENNIAL STATEMENT 2022-12-01
201201061303 2020-12-01 BIENNIAL STATEMENT 2020-12-01
181203006627 2018-12-03 BIENNIAL STATEMENT 2018-12-01
161205007891 2016-12-05 BIENNIAL STATEMENT 2016-12-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State