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SOUTHSHORE MEDICAL PRACTICE MANAGEMENT INC.

Company Details

Name: SOUTHSHORE MEDICAL PRACTICE MANAGEMENT INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 20 Dec 2010 (14 years ago)
Entity Number: 4032838
ZIP code: 11706
County: Suffolk
Place of Formation: New York
Address: 56 WEST MAIN STREET, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 56 WEST MAIN STREET, BAY SHORE, NY, United States, 11706

National Provider Identifier

NPI Number:
1649575242

Authorized Person:

Name:
MRS. PATRICIA PACAUD BREZAULT
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
171W00000X - Contractor
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
101220000711 2010-12-20 CERTIFICATE OF INCORPORATION 2010-12-20

Date of last update: 27 Mar 2025

Sources: New York Secretary of State