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LONG ISLAND THORACIC SURGERY, P.C.

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Company Details

Name: LONG ISLAND THORACIC SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Apr 2004 (21 years ago)
Entity Number: 3046251
ZIP code: 11563
County: Nassau
Place of Formation: New York
Address: 444 MERRICK RD, STE 380, LYNBROOK, NY, United States, 11563

Contact Details

Phone +1 516-255-5010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
STEWART FOX MD Chief Executive Officer 444 MERRICK RD, STE 380, LYNBROOK, NY, United States, 11563

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 444 MERRICK RD, STE 380, LYNBROOK, NY, United States, 11563

National Provider Identifier

NPI Number:
1336341148

Authorized Person:

Name:
MS. LAURA KOSOVOI
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5162555020

Form 5500 Series

Employer Identification Number (EIN):
201083852
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:

History

Start date End date Type Value
2004-04-28 2006-04-13 Address 8 THE HEMLOCKS, ROSLYN, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140707002190 2014-07-07 BIENNIAL STATEMENT 2014-04-01
120517002713 2012-05-17 BIENNIAL STATEMENT 2012-04-01
100419002023 2010-04-19 BIENNIAL STATEMENT 2010-04-01
080408003180 2008-04-08 BIENNIAL STATEMENT 2008-04-01
060413002976 2006-04-13 BIENNIAL STATEMENT 2006-04-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State