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BRENTWOOD MEDICAL CARE P.C.

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Company Details

Name: BRENTWOOD MEDICAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Aug 2006 (19 years ago)
Entity Number: 3399057
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 1890 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOSEPH PEREZ, MD. Chief Executive Officer 1890 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1890 NEW YORK AVENUE, HUNTINGTON STATION, NY, United States, 11746

National Provider Identifier

NPI Number:
1699830745

Authorized Person:

Name:
DR. MATTHEW J VISO
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2008-09-03 2010-08-11 Address 1890 NEW YORK AVE, HUNTINGTON STATION, NY, 11746, USA (Type of address: Chief Executive Officer)
2008-09-03 2010-08-11 Address 1890 NEW YORK AVE, HUNTINGTON STATION, NY, 11746, USA (Type of address: Principal Executive Office)
2006-08-10 2006-09-11 Address 1890 NEW YORK AVE, HUNTINGTON, NY, 11746, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121116002401 2012-11-16 BIENNIAL STATEMENT 2012-08-01
100811002991 2010-08-11 BIENNIAL STATEMENT 2010-08-01
080903002145 2008-09-03 BIENNIAL STATEMENT 2008-08-01
060911000654 2006-09-11 CERTIFICATE OF CHANGE 2006-09-11
060810000364 2006-08-10 CERTIFICATE OF INCORPORATION 2006-08-10

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State