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ROBERT M. WOZNICKI, M.D., P.C.

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Company Details

Name: ROBERT M. WOZNICKI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 07 Oct 2004 (21 years ago)
Date of dissolution: 29 Jun 2016
Entity Number: 3111171
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: BUILDING J, 640 BELLE TERRE ROAD, PORT JEFFERSON, NY, United States, 11777
Principal Address: 640 BELLE TERRE ROAD, BLDG J-3, PORT JEFFERSON, NY, United States, 17777

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ROBERT M WOZNICKI, MD P.C. Chief Executive Officer 640 BELLE TERRE RD, BLDG J-3, PORT JEFFERSON, NY, United States, 17777

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent BUILDING J, 640 BELLE TERRE ROAD, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1285813667

Authorized Person:

Name:
DR. ROBERT MICHAEL WOZNICKI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6319283957

Filings

Filing Number Date Filed Type Effective Date
DP-2150459 2016-06-29 DISSOLUTION BY PROCLAMATION 2016-06-29
130402006032 2013-04-02 BIENNIAL STATEMENT 2012-10-01
110104002284 2011-01-04 BIENNIAL STATEMENT 2010-10-01
080926002941 2008-09-26 BIENNIAL STATEMENT 2008-10-01
061107002770 2006-11-07 BIENNIAL STATEMENT 2006-10-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State