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SAN SAN WYNN, M.D., P.C.

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Company Details

Name: SAN SAN WYNN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Feb 2008 (17 years ago)
Entity Number: 3627622
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 723 EAST 87TH STREET 2ND FL, BROOKLYN, NY, United States, 11236

Contact Details

Phone +1 718-498-5754

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SAN SAN WYNN, M.D., P.C. DOS Process Agent 723 EAST 87TH STREET 2ND FL, BROOKLYN, NY, United States, 11236

Chief Executive Officer

Name Role Address
SAN SAN WYNN Chief Executive Officer 723 EAST 87TH STREET 2ND FL, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1699945642

Authorized Person:

Name:
DR. SAN SAN WYNN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
262068098
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2010-02-24 2016-08-26 Address 56 HAMILTON DRIVE, ROSLYN, NY, 11576, USA (Type of address: Chief Executive Officer)
2010-02-24 2016-08-26 Address 56 HAMILTON DRIVE, ROSLYN, NY, 11576, USA (Type of address: Principal Executive Office)
2010-02-24 2016-08-26 Address 56 HAMILTON DRIVE, ROSLYN, NY, 11576, USA (Type of address: Service of Process)
2008-02-06 2010-02-24 Address 56 HAMILTON DRIVE, ROSLYN, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160826006198 2016-08-26 BIENNIAL STATEMENT 2016-02-01
140324002258 2014-03-24 BIENNIAL STATEMENT 2014-02-01
120307002613 2012-03-07 BIENNIAL STATEMENT 2012-02-01
100224002768 2010-02-24 BIENNIAL STATEMENT 2010-02-01
080206000038 2008-02-06 CERTIFICATE OF INCORPORATION 2008-02-06

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State