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AMHERST COLON & RECTAL SURGERY, PLLC

Company Details

Name: AMHERST COLON & RECTAL SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Dec 2007 (17 years ago)
Entity Number: 3608801
ZIP code: 14221
County: Erie
Place of Formation: New York
Address: 6500 MAIN STREET, SUITE FIVE, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
C/O WILLIAM C. MORAN & ASSOCIATES, P.C. DOS Process Agent 6500 MAIN STREET, SUITE FIVE, WILLIAMSVILLE, NY, United States, 14221

National Provider Identifier

NPI Number:
1649407131

Authorized Person:

Name:
DR. FRED E BOEHMKE
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7166266646

Form 5500 Series

Employer Identification Number (EIN):
263943732
Plan Year:
2012
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
191231060208 2019-12-31 BIENNIAL STATEMENT 2019-12-01
171215006227 2017-12-15 BIENNIAL STATEMENT 2017-12-01
151210006249 2015-12-10 BIENNIAL STATEMENT 2015-12-01
140102006368 2014-01-02 BIENNIAL STATEMENT 2013-12-01
120120002714 2012-01-20 BIENNIAL STATEMENT 2011-12-01

Date of last update: 28 Mar 2025

Sources: New York Secretary of State