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SOUTH ISLAND FAMILY MEDICAL, LLC

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Company Details

Name: SOUTH ISLAND FAMILY MEDICAL, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Oct 2007 (18 years ago)
Entity Number: 3580259
ZIP code: 11558
County: Nassau
Place of Formation: New York
Address: 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, United States, 11558

Contact Details

Phone +1 516-670-8800

DOS Process Agent

Name Role Address
SOUTH ISLAND FAMILY MEDICAL, LLC DOS Process Agent 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, United States, 11558

National Provider Identifier

NPI Number:
1306954292

Authorized Person:

Name:
DR. CAROLYN M CASTIGLIA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5166708803

Form 5500 Series

Employer Identification Number (EIN):
113599064
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:

History

Start date End date Type Value
2013-10-23 2023-10-02 Address 3 CALIFORNIA PLACE SOUTH, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2009-10-20 2013-10-23 Address SOUTH ISLAND MEDICAL, 4042A AUSTIN BLVD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2007-10-18 2009-10-20 Address 4042A AUSTIN BOULEVARD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)
2007-10-15 2007-10-18 Address 4042A AUSTIN BOULEVARD, ISLAND PARK, NY, 11558, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231002003791 2023-10-02 BIENNIAL STATEMENT 2023-10-01
220913002436 2022-09-13 BIENNIAL STATEMENT 2021-10-01
191003061983 2019-10-03 BIENNIAL STATEMENT 2019-10-01
131023002200 2013-10-23 BIENNIAL STATEMENT 2013-10-01
111103002558 2011-11-03 BIENNIAL STATEMENT 2011-10-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State