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SOUTHAMPTON URGENT MEDICAL CARE, P.C.

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Company Details

Name: SOUTHAMPTON URGENT MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Mar 2003 (22 years ago)
Entity Number: 2887268
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 609 HAMPTON ROAD, SOUTHAMPTON, NY, United States, 11968

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 609 HAMPTON ROAD, SOUTHAMPTON, NY, United States, 11968

Chief Executive Officer

Name Role Address
MARK R KOT, MD Chief Executive Officer 609 HAMPTON ROAD, SOUTHAMPTON, NY, United States, 11968

National Provider Identifier

NPI Number:
1003020017

Authorized Person:

Name:
DR. MARK R KOT
Role:
OWNER MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6312049606

History

Start date End date Type Value
2005-04-06 2011-04-01 Address 609 HAMPTON RD, SOUTHAMPTON, NY, 11968, USA (Type of address: Chief Executive Officer)
2005-04-06 2011-04-01 Address 609 HAMPTON RD, SOUTHAMPTON, NY, 11968, USA (Type of address: Principal Executive Office)
2003-03-26 2011-04-01 Address 609 HAMPTON ROAD, SOUTHAMPTON, NY, 11968, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110401002435 2011-04-01 BIENNIAL STATEMENT 2011-03-01
090408003148 2009-04-08 BIENNIAL STATEMENT 2009-03-01
070316002741 2007-03-16 BIENNIAL STATEMENT 2007-03-01
050406002153 2005-04-06 BIENNIAL STATEMENT 2005-03-01
030326000902 2003-03-26 CERTIFICATE OF INCORPORATION 2003-03-26

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State