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INTERBORO SURGICAL ASSOCIATES, P.C.

Company Details

Name: INTERBORO SURGICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Nov 2005 (20 years ago)
Entity Number: 3279497
ZIP code: 11357
County: Kings
Place of Formation: New York
Address: 19-02 WHITESTONE EXPRESSWAY, WHITESTONE, NY, United States, 11357

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 19-02 WHITESTONE EXPRESSWAY, WHITESTONE, NY, United States, 11357

National Provider Identifier

NPI Number:
1679670210

Authorized Person:

Name:
DR. GREGORY R. BREVETTI
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7187485539

Form 5500 Series

Employer Identification Number (EIN):
203923853
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:

History

Start date End date Type Value
2005-11-10 2021-06-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
051110000026 2005-11-10 CERTIFICATE OF INCORPORATION 2005-11-10

Date of last update: 29 Mar 2025

Sources: New York Secretary of State