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MICHAEL L. INNERFIELD, M.D., P.C.

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Company Details

Name: MICHAEL L. INNERFIELD, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Feb 2007 (18 years ago)
Entity Number: 3478729
ZIP code: 10901
County: Rockland
Place of Formation: New York
Address: 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MICHAEL INNERFIELD DOS Process Agent 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

Chief Executive Officer

Name Role Address
MICHAEL INNERFIELD Chief Executive Officer 2 EXECUTIVE BLVD, STE 406, SUFFERN, NY, United States, 10901

National Provider Identifier

NPI Number:
1619006715

Authorized Person:

Name:
DR. MICHAEL INNERFIELD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8453531295

Form 5500 Series

Employer Identification Number (EIN):
208494869
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2007-02-20 2009-04-16 Address 4 DEARBORN ROAD, WEST NYACK, NY, 10994, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110315002491 2011-03-15 BIENNIAL STATEMENT 2011-02-01
090416002863 2009-04-16 BIENNIAL STATEMENT 2009-02-01
070220000908 2007-02-20 CERTIFICATE OF INCORPORATION 2007-02-20

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State