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JUDY R. ANDERSON, M.D., P.C.

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Company Details

Name: JUDY R. ANDERSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Sep 2006 (19 years ago)
Entity Number: 3408127
ZIP code: 10804
County: Westchester
Place of Formation: New York
Address: 320 SURREY DRIVE, NEW ROCHELLE, NY, United States, 10804
Principal Address: 320 SURREY DR, NEW ROCHELLE, NY, United States, 10804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JUDY R ANDERSON Chief Executive Officer 984 N BROADWAY, SET 310, YONKERS, NY, United States, 10701

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 320 SURREY DRIVE, NEW ROCHELLE, NY, United States, 10804

National Provider Identifier

NPI Number:
1629146113

Authorized Person:

Name:
DR. JUDY R ANDERSON
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
9149638406

Form 5500 Series

Employer Identification Number (EIN):
205500822
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
121009002282 2012-10-09 BIENNIAL STATEMENT 2012-09-01
100915002403 2010-09-15 BIENNIAL STATEMENT 2010-09-01
080826002761 2008-08-26 BIENNIAL STATEMENT 2008-09-01
060905000005 2006-09-05 CERTIFICATE OF INCORPORATION 2006-09-05

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State