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ALAN BLOOMBERG, M.D., P.C.

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Company Details

Name: ALAN BLOOMBERG, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 17 Apr 2003 (22 years ago)
Date of dissolution: 12 Sep 2022
Entity Number: 2895904
ZIP code: 12205
County: Albany
Place of Formation: New York
Address: 1694 CENTRAL AVE, ALBANY, NY, United States, 12205

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1694 CENTRAL AVE, ALBANY, NY, United States, 12205

Chief Executive Officer

Name Role Address
ALAN BLOOMBERG MD Chief Executive Officer 1694 CENTRAL AVE, ALBANY, NY, United States, 12205

National Provider Identifier

NPI Number:
1396839486

Authorized Person:

Name:
MS. ERICKA H. JENSEN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111NX0800X - Orthopedic Chiropractor
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
5188696030

History

Start date End date Type Value
2005-06-20 2023-01-22 Address 1694 CENTRAL AVE, ALBANY, NY, 12205, USA (Type of address: Chief Executive Officer)
2005-06-20 2023-01-22 Address 1694 CENTRAL AVE, ALBANY, NY, 12205, USA (Type of address: Service of Process)
2003-04-17 2022-09-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2003-04-17 2005-06-20 Address 1674 CENTRAL AVE, ALBANY, NY, 12205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230122000156 2022-09-12 CERTIFICATE OF DISSOLUTION-CANCELLATION 2022-09-12
131114006309 2013-11-14 BIENNIAL STATEMENT 2013-04-01
110511003026 2011-05-11 BIENNIAL STATEMENT 2011-04-01
090422002486 2009-04-22 BIENNIAL STATEMENT 2009-04-01
070615002802 2007-06-15 BIENNIAL STATEMENT 2007-04-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State