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ISLAND UROLOGICAL ASSOCIATES, P.C.

Company Details

Name: ISLAND UROLOGICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Jan 1972 (53 years ago)
Entity Number: 321699
ZIP code: 11514
County: Nassau
Place of Formation: New York
Address: ONE OLD COUNTRY ROAD, CARLE PLACE, NY, United States, 11514

Shares Details

Shares issued 300

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
STEVEN COHN, ESQ. DOS Process Agent ONE OLD COUNTRY ROAD, CARLE PLACE, NY, United States, 11514

National Provider Identifier

NPI Number:
1255418380

Authorized Person:

Name:
MRS. LAURA ROMANO
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
2088P0231X - Pediatric Urology Physician
Is Primary:
No

Contacts:

Fax:
5167667728

Form 5500 Series

Employer Identification Number (EIN):
112268467
Plan Year:
2012
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
19
Sponsors Telephone Number:

History

Start date End date Type Value
1972-01-14 1993-05-04 Address 767 5TH AVE., NEW YORK, NY, 10153, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
C334074-2 2003-07-21 ASSUMED NAME LLC INITIAL FILING 2003-07-21
930504000409 1993-05-04 CERTIFICATE OF CHANGE 1993-05-04
B004307-4 1983-07-22 CERTIFICATE OF AMENDMENT 1983-07-22
959761-7 1972-01-14 CERTIFICATE OF INCORPORATION 1972-01-14

Date of last update: 18 Mar 2025

Sources: New York Secretary of State