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PREMIER CARE MEDICAL OF WEST ISLIP, PLLC

Company Details

Name: PREMIER CARE MEDICAL OF WEST ISLIP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 19 May 2010 (15 years ago)
Date of dissolution: 02 Oct 2020
Entity Number: 3951499
ZIP code: 12260
County: Suffolk
Place of Formation: New York
Address: 99 WASHINGTON AVENUE, SUITE 1008, ALBANY, NY, United States, 12260

DOS Process Agent

Name Role Address
C/O REGISTERED AGENT SOLUTIONS, INC. DOS Process Agent 99 WASHINGTON AVENUE, SUITE 1008, ALBANY, NY, United States, 12260

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC. Agent 99 WASHINGTON AVENUE, SUITE 1008, ALBANY, NY, 12260

National Provider Identifier

NPI Number:
1801238845

Authorized Person:

Name:
DR. DAVID KIM
Role:
MANAGING OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5167834612
Fax:
5162924009

History

Start date End date Type Value
2016-05-17 2018-11-23 Address 1345 AVENUE OF THE AMERICAS, 8TH FLOOR, NEW YORK, NY, 10105, USA (Type of address: Service of Process)
2010-05-19 2016-05-17 Address ATTN: DAVID KIM, M.D., 585 MERRICK ROAD, LYNBROOK, NY, 11563, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201002000468 2020-10-02 CERTIFICATE OF DISSOLUTION 2020-10-02
200505060367 2020-05-05 BIENNIAL STATEMENT 2020-05-01
181123000107 2018-11-23 CERTIFICATE OF CHANGE 2018-11-23
180504006819 2018-05-04 BIENNIAL STATEMENT 2018-05-01
160517006144 2016-05-17 BIENNIAL STATEMENT 2016-05-01

Date of last update: 27 Mar 2025

Sources: New York Secretary of State