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SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC

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Company Details

Name: SAMUEL EPHRAIM BOOK, MD, FAAD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Apr 2003 (22 years ago)
Entity Number: 2894685
ZIP code: 12553
County: Orange
Place of Formation: New York
Address: 575 HUDSON VALLEY AVENUE, #205, NEW WINDSOR, NY, United States, 12553

DOS Process Agent

Name Role Address
SAMUEL BOOK DOS Process Agent 575 HUDSON VALLEY AVENUE, #205, NEW WINDSOR, NY, United States, 12553

Links between entities

Type:
Headquarter of
Company Number:
1255253
State:
CONNECTICUT

National Provider Identifier

NPI Number:
1285910927

Authorized Person:

Name:
SAMUEL EPHRAIM BOOK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8452202249

Form 5500 Series

Employer Identification Number (EIN):
352208502
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2009-04-03 2021-04-29 Address 42 WEST 38TH STREET, NEW YORK, NY, 10018, USA (Type of address: Service of Process)
2003-04-15 2009-04-03 Address 49 WEST 45TH STREET, NEW YORK, NY, 10036, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210429060339 2021-04-29 BIENNIAL STATEMENT 2019-04-01
090403003123 2009-04-03 BIENNIAL STATEMENT 2009-04-01
070524002177 2007-05-24 BIENNIAL STATEMENT 2007-04-01
050414002520 2005-04-14 BIENNIAL STATEMENT 2005-04-01
030415000049 2003-04-15 ARTICLES OF ORGANIZATION 2003-04-15

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State