Search icon

STONY BROOK COMMUNITY MEDICAL, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: STONY BROOK COMMUNITY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Sep 2010 (15 years ago)
Entity Number: 3996982
ZIP code: 12207
County: Suffolk
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207
Principal Address: 500 Commack Rd, ATTN RAY LINDBLAD, Commack, NY, United States, 11725

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JENNIFER CREMA DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

Chief Executive Officer

Name Role Address
WILLIAM WERTHEIM Chief Executive Officer 500 COMMACK ROAD, SUITE 206, ATTN RAY LINDBLAD, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1972812220

Authorized Person:

Name:
DR. TODD R GRIFFIN
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No

Contacts:

Fax:
6316384065

History

Start date End date Type Value
2024-10-16 2024-10-16 Address 45 RESEARCH WAY SUITE 208A, ATTN RAY LINDBLAD, EAST SETAUKET, NY, 11733, USA (Type of address: Chief Executive Officer)
2024-02-07 2024-10-15 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2024-01-22 2024-01-22 Address 45 RESEARCH WAY SUITE 208A, ATTN RAY LINDBLAD, EAST SETAUKET, NY, 11733, USA (Type of address: Chief Executive Officer)
2024-01-22 2024-02-07 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2024-01-22 2024-10-16 Address 500 COMMACK ROAD, SUITE 206, ATTN RAY LINDBLAD, COMMACK, NY, 11725, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
241016001841 2024-10-15 CERTIFICATE OF AMENDMENT 2024-10-15
240122002271 2024-01-22 BIENNIAL STATEMENT 2024-01-22
230125002251 2022-05-04 CERTIFICATE OF AMENDMENT 2022-05-04
180904007687 2018-09-04 BIENNIAL STATEMENT 2018-09-01
170725000045 2017-07-25 CERTIFICATE OF AMENDMENT 2017-07-25

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 27 Mar 2025

Sources: New York Secretary of State