| Name: | THEODORE FRIED, M.D., BURFORD K. WELCH, M.D., DAVID I. HAUER, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 26 Jun 1972 (53 years ago) |
| Entity Number: | 332956 |
| ZIP code: | 11779 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 388 HAWKINS AVENUE, LAKE RONKONKOMA, NY, United States, 11779 |
| Principal Address: | 388 HAWKINS AVENUE, LAKE RONKKONKOMA, NY, United States, 11779 |
Shares Details
Shares issued 100
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| DR. DAVID HAVER | Chief Executive Officer | 43 CAMBRIDGE DRIVE, SMITHTOWN, NY, United States, 11787 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 388 HAWKINS AVENUE, LAKE RONKONKOMA, NY, United States, 11779 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1972-06-26 | 1993-10-08 | Address | 388 HAWKINS AVE., LAKE RONKONKOMA, NY, 11779, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 140716006096 | 2014-07-16 | BIENNIAL STATEMENT | 2014-06-01 |
| 120724002122 | 2012-07-24 | BIENNIAL STATEMENT | 2012-06-01 |
| 100625002185 | 2010-06-25 | BIENNIAL STATEMENT | 2010-06-01 |
| 080721003002 | 2008-07-21 | BIENNIAL STATEMENT | 2008-06-01 |
| 060831002501 | 2006-08-31 | BIENNIAL STATEMENT | 2006-06-01 |
| 040729002212 | 2004-07-29 | BIENNIAL STATEMENT | 2004-06-01 |
| C340203-2 | 2003-12-05 | ASSUMED NAME CORP INITIAL FILING | 2003-12-05 |
| 980825002146 | 1998-08-25 | BIENNIAL STATEMENT | 1998-06-01 |
| 931008002359 | 1993-10-08 | BIENNIAL STATEMENT | 1993-06-01 |
| B298115-6 | 1985-12-10 | CERTIFICATE OF AMENDMENT | 1985-12-10 |
Date of last update: 21 Dec 2024
Sources: New York Secretary of State
