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MYLES E. GOMBERT, M.D. P.C.

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Company Details

Name: MYLES E. GOMBERT, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Jan 2008 (18 years ago)
Entity Number: 3613118
ZIP code: 11050
County: Nassau
Place of Formation: New York
Address: 30 WOOD ROAD, PORT WASHINGTON, NY, United States, 11050
Principal Address: 30 WOOD RD, PORT WASHINGTON, NY, United States, 11050

Contact Details

Phone +1 516-565-4800

Phone +1 718-669-7100

Phone +1 516-374-9300

Phone +1 516-466-3001

Phone +1 631-724-2200

Phone +1 718-471-3400

Phone +1 718-423-6400

Phone +1 516-431-2600

Phone +1 718-266-5700

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MYLES E GOMBERT MD Chief Executive Officer 30 WOOD RD, PORT WASHINGTON, NY, United States, 11050

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 30 WOOD ROAD, PORT WASHINGTON, NY, United States, 11050

National Provider Identifier

NPI Number:
1003174194

Authorized Person:

Name:
DR. MYLES E GOMBERT
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5169442385

Form 5500 Series

Employer Identification Number (EIN):
261723652
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140226002203 2014-02-26 BIENNIAL STATEMENT 2014-01-01
120130002878 2012-01-30 BIENNIAL STATEMENT 2012-01-01
100113002283 2010-01-13 BIENNIAL STATEMENT 2010-01-01
080104000944 2008-01-04 CERTIFICATE OF INCORPORATION 2008-01-04

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State