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FAMILY MEDICINE OF LI P.C.

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Company Details

Name: FAMILY MEDICINE OF LI P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 May 2011 (14 years ago)
Entity Number: 4099244
ZIP code: 11786
County: Suffolk
Place of Formation: New York
Address: 14 MONTICELLO DRIVE, SHOREHAM, NY, United States, 11786

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 14 MONTICELLO DRIVE, SHOREHAM, NY, United States, 11786

National Provider Identifier

NPI Number:
1114292802

Authorized Person:

Name:
DR. RONAN MONSEF
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6318807603

History

Start date End date Type Value
2011-05-25 2016-03-03 Address 760 JERICHO TURNPIKE, WESTBURY, NY, 11590, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160303000192 2016-03-03 CERTIFICATE OF CHANGE 2016-03-03
110525000871 2011-05-25 CERTIFICATE OF INCORPORATION 2011-05-25

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State