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NORTH STAR EMERGENCY PHYSICIANS, P.C.

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Company Details

Name: NORTH STAR EMERGENCY PHYSICIANS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 May 2005 (20 years ago)
Entity Number: 3208169
ZIP code: 13676
County: Jefferson
Place of Formation: New York
Address: PO BOX 425, POTSDAM, NY, United States, 13676
Principal Address: 50 LEROY STREET, POTSDAM, NY, United States, 13676

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent PO BOX 425, POTSDAM, NY, United States, 13676

Chief Executive Officer

Name Role Address
JOHN WILLIAMS MD Chief Executive Officer PO BOX 425, POTSDAM, NY, United States, 13676

National Provider Identifier

NPI Number:
1063471779

Authorized Person:

Name:
PAULA J NEZEZON
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3152651121

History

Start date End date Type Value
2005-05-20 2009-05-14 Address 1116 ARSENAL STREET STE 504, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130520002389 2013-05-20 BIENNIAL STATEMENT 2013-05-01
110527003013 2011-05-27 BIENNIAL STATEMENT 2011-05-01
090514002188 2009-05-14 BIENNIAL STATEMENT 2009-05-01
050520000855 2005-05-20 CERTIFICATE OF INCORPORATION 2005-05-20

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State