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SHOREHAM MEDICAL SERVICES, P.C.

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Company Details

Name: SHOREHAM MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 21 Jul 2011 (14 years ago)
Date of dissolution: 15 Oct 2021
Entity Number: 4120796
ZIP code: 11786
County: Suffolk
Place of Formation: New York
Address: 45 ROUTE 25A, 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 45 ROUTE 25A, SHOREHAM, NY, United States, 11786

National Provider Identifier

NPI Number:
1659655157

Authorized Person:

Name:
DR. OWEN YEN
Role:
SHAREHOLDER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6317441627

History

Start date End date Type Value
2011-07-21 2021-10-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-07-21 2021-10-15 Address 45 ROUTE 25A, SHOREHAM, NY, 11786, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211015001891 2021-10-15 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-10-15
110816000046 2011-08-16 CERTIFICATE OF AMENDMENT 2011-08-16
110721000148 2011-07-21 CERTIFICATE OF INCORPORATION 2011-07-21

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State