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GRAND STREET GASTROENTEROLOGY, INC.

Company Details

Name: GRAND STREET GASTROENTEROLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 18 Feb 2004 (21 years ago)
Entity Number: 3014536
ZIP code: 12401
County: Ulster
Place of Formation: New York
Principal Address: 27 GRAND STREET, KINGSTON, NY, United States, 12401
Address: 33 GRAND STREET, KINGSTON, NY, United States, 12401

Contact Details

Phone +1 845-338-9711

Shares Details

Shares issued 150

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 33 GRAND STREET, KINGSTON, NY, United States, 12401

Chief Executive Officer

Name Role Address
DR. D.K. SHAH, MD Chief Executive Officer 33 GRAND ST, KINGSTON, NY, United States, 12401

National Provider Identifier

NPI Number:
1831259795
Certification Date:
2021-05-20

Authorized Person:

Name:
STEPHANIE CLEARWATER
Role:
OFFICE MGR./ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8453389711
Fax:
8458538093

Form 5500 Series

Employer Identification Number (EIN):
200693646
Plan Year:
2017
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
101007002404 2010-10-07 BIENNIAL STATEMENT 2010-02-01
080222003059 2008-02-22 BIENNIAL STATEMENT 2008-02-01
060310003101 2006-03-10 BIENNIAL STATEMENT 2006-02-01
040218000458 2004-02-18 CERTIFICATE OF INCORPORATION 2004-02-18

Date of last update: 29 Mar 2025

Sources: New York Secretary of State