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BUFFALO INTERNAL MEDICINE, PLLC

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Company Details

Name: BUFFALO INTERNAL MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jan 2008 (17 years ago)
Entity Number: 3614037
ZIP code: 14052
County: Erie
Place of Formation: New York
Address: 260 Carnoustie Drive, East Aurora, NY, United States, 14052

DOS Process Agent

Name Role Address
THOMAS BREWER, D.O. DOS Process Agent 260 Carnoustie Drive, East Aurora, NY, United States, 14052

National Provider Identifier

NPI Number:
1225204415

Authorized Person:

Name:
THOMAS J BREWER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
7166348987

Form 5500 Series

Employer Identification Number (EIN):
364624122
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2008-01-08 2024-08-07 Address 200 INTERNATIONAL DRIVE, BUFFALO, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240807000433 2024-08-07 BIENNIAL STATEMENT 2024-08-07
220914003608 2022-09-14 BIENNIAL STATEMENT 2022-01-01
140403002028 2014-04-03 BIENNIAL STATEMENT 2014-01-01
120130002552 2012-01-30 BIENNIAL STATEMENT 2012-01-01
100309002869 2010-03-09 BIENNIAL STATEMENT 2010-01-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State