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FOREST HILLS MEDICAL ASSOCIATES, P. C.

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Company Details

Name: FOREST HILLS MEDICAL ASSOCIATES, P. C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 Jul 1971 (54 years ago)
Date of dissolution: 14 Aug 2017
Entity Number: 311739
ZIP code: 11365
County: Queens
Place of Formation: New York
Address: 68-09 174TH ST, FRESH MEADOWS, NY, United States, 11365

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SHIH HAO FU MD DOS Process Agent 68-09 174TH ST, FRESH MEADOWS, NY, United States, 11365

Chief Executive Officer

Name Role Address
SHIH HAO FU MD Chief Executive Officer 68-09 174TH ST, FRESH MEADOWS, NY, United States, 11365

National Provider Identifier

NPI Number:
1225191604

Authorized Person:

Name:
DR. YOUNG I KIM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
7182619247
Fax:
7182646833

Form 5500 Series

Employer Identification Number (EIN):
112234704
Plan Year:
2009
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2009-07-23 2011-09-09 Address 42-34 213TH ST, BAYSIDE, NY, 11361, USA (Type of address: Chief Executive Officer)
2005-10-19 2009-07-23 Address 108-28 68TH DRIVE, FOREST HILLS, NY, 11375, USA (Type of address: Principal Executive Office)
2005-10-19 2009-07-23 Address 108-28 68TH DRIVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
1993-03-08 2009-07-23 Address 70-35 113TH ST, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
1993-03-08 2005-10-19 Address 70-35 113TH ST, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170814000579 2017-08-14 CERTIFICATE OF DISSOLUTION 2017-08-14
130711006759 2013-07-11 BIENNIAL STATEMENT 2013-07-01
110909002717 2011-09-09 BIENNIAL STATEMENT 2011-07-01
20110513063 2011-05-13 ASSUMED NAME CORP INITIAL FILING 2011-05-13
090723002271 2009-07-23 BIENNIAL STATEMENT 2009-07-01

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State