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VINCENT ANZALONE, PHYSICIAN, P.C.

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Company Details

Name: VINCENT ANZALONE, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 08 Jun 2011 (14 years ago)
Date of dissolution: 15 May 2018
Entity Number: 4104409
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 847 BROADWAY, SUITE 103, MASSAPEQUA, NY, United States, 11758
Principal Address: 847 BROADWAY STE 103, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
VINCENT P ANZALONE MD Chief Executive Officer 847 BROADWAY STE 103, MASSAPEQUA, NY, United States, 11758

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 847 BROADWAY, SUITE 103, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1083996227

Authorized Person:

Name:
DR. VINCENT PETER ANZALONE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5165765820
Fax:
5167980445

History

Start date End date Type Value
2011-06-08 2011-09-14 Address 259 FIRST STREET, MINEOLA, NY, 11501, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180515000931 2018-05-15 CERTIFICATE OF DISSOLUTION 2018-05-15
130723002377 2013-07-23 BIENNIAL STATEMENT 2013-06-01
110914000005 2011-09-14 CERTIFICATE OF CHANGE 2011-09-14
110608000693 2011-06-08 CERTIFICATE OF INCORPORATION 2011-06-08

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State