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PETER G. SULTAN, M.D., P.C.

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Company Details

Name: PETER G. SULTAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Aug 2005 (20 years ago)
Entity Number: 3241938
ZIP code: 11901
County: Suffolk
Place of Formation: New York
Address: 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PETER G SULTAN M.D., P.C. Chief Executive Officer 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1300 ROANOKE AVENUE, RIVERHEAD, NY, United States, 11901

National Provider Identifier

NPI Number:
1376591701

Authorized Person:

Name:
PETER G SULTAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313698129

Filings

Filing Number Date Filed Type Effective Date
170807006183 2017-08-07 BIENNIAL STATEMENT 2017-08-01
150803006270 2015-08-03 BIENNIAL STATEMENT 2015-08-01
130819006041 2013-08-19 BIENNIAL STATEMENT 2013-08-01
111012002183 2011-10-12 BIENNIAL STATEMENT 2011-08-01
090806002848 2009-08-06 BIENNIAL STATEMENT 2009-08-01

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State