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ANDREW LEO M.D. P.C.

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Company Details

Name: ANDREW LEO M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Dec 2010 (15 years ago)
Entity Number: 4028658
ZIP code: 11787
County: Suffolk
Place of Formation: New York
Address: 290 EAST MAIN STREET, SMITHTOWN, NY, United States, 11787

Shares Details

Shares issued 1000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
ANDREW LEO MD DOS Process Agent 290 EAST MAIN STREET, SMITHTOWN, NY, United States, 11787

Chief Executive Officer

Name Role Address
ANDREW LEO Chief Executive Officer 290 EAST MAIN STREET, SMITHTOWN, NY, United States, 11787

National Provider Identifier

NPI Number:
1154632479

Authorized Person:

Name:
ANDREW J LEO
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6313618607

Filings

Filing Number Date Filed Type Effective Date
121212006372 2012-12-12 BIENNIAL STATEMENT 2012-12-01
101209000409 2010-12-09 CERTIFICATE OF INCORPORATION 2010-12-09

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State