| Name: | ERIE AGUSTIN, M.D., PRIMARY CARE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 08 Jun 2004 (21 years ago) |
| Entity Number: | 3063470 |
| ZIP code: | 11377 |
| County: | Queens |
| Place of Formation: | New York |
| Principal Address: | 17-13 RIDGEWOOD HART ST, RIDGEWOOD, NY, United States, 11385 |
| Address: | 57-18 WOODSIDE AVENUE, WOODSIDE, NY, United States, 11377 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| LAW OFFICES OF GABRIEL & MOROFF, P.C. | Agent | 2 LINCOLN AVENUE SUITE 302, ROCKVILLE CENTRE, NY, 11570 |
| Name | Role | Address |
|---|---|---|
| ERIE AGUSTIN MD | Chief Executive Officer | 57-18 WOODSIDE AVE, WOODSIDE, NY, United States, 11377 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 57-18 WOODSIDE AVENUE, WOODSIDE, NY, United States, 11377 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2004-06-08 | 2022-05-09 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 200828000079 | 2020-08-28 | CERTIFICATE OF CHANGE | 2020-08-28 |
| 060707002139 | 2006-07-07 | BIENNIAL STATEMENT | 2006-06-01 |
| 040608000739 | 2004-06-08 | CERTIFICATE OF INCORPORATION | 2004-06-08 |
Date of last update: 29 Mar 2025
Sources: New York Secretary of State
