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STATEN ISLAND NEPHROLOGY, P.C.

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Company Details

Name: STATEN ISLAND NEPHROLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jun 1976 (49 years ago)
Entity Number: 402871
ZIP code: 10301
County: Richmond
Place of Formation: New York
Address: 1366 VICTORY BLVD, STATEN ISLAND, NY, United States, 10301

Contact Details

Phone +1 718-273-3400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1366 VICTORY BLVD, STATEN ISLAND, NY, United States, 10301

National Provider Identifier

NPI Number:
1982682001

Authorized Person:

Name:
MR. EUGENE PETRA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
7187273402

Form 5500 Series

Employer Identification Number (EIN):
132871829
Plan Year:
2024
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
1976-06-21 2003-02-12 Address 657 HYLAND BLVD., STATEN ISLAND, NY, 60305, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20120328050 2012-03-28 ASSUMED NAME CORP INITIAL FILING 2012-03-28
030212000461 2003-02-12 CERTIFICATE OF AMENDMENT 2003-02-12
A323280-5 1976-06-21 CERTIFICATE OF INCORPORATION 1976-06-21

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State