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SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP

Company Details

Name: SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 19 Jan 2005 (20 years ago)
Date of dissolution: 29 Jul 2015
Entity Number: 3152299
ZIP code: 11520
County: Blank
Place of Formation: New York
Address: 155 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 155 WEST MERRICK ROAD, FREEPORT, NY, United States, 11520

National Provider Identifier

NPI Number:
1508045279

Authorized Person:

Name:
MRS. BARBARA M MARTIN
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
5168680683

Form 5500 Series

Employer Identification Number (EIN):
111988108
Plan Year:
2015
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
RV-2140769 2015-07-29 REVOCATION OF REGISTRATION 2015-07-29
100217002243 2010-02-17 FIVE YEAR STATEMENT 2010-01-01
050816000378 2005-08-16 CERTIFICATE OF AMENDMENT 2005-08-16
050531000947 2005-05-31 AFFIDAVIT OF PUBLICATION 2005-05-31
050531000955 2005-05-31 AFFIDAVIT OF PUBLICATION 2005-05-31

Date of last update: 29 Mar 2025

Sources: New York Secretary of State