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SHARON SULLIVAN PT MS P.C.

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Company Details

Name: SHARON SULLIVAN PT MS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Sep 2011 (14 years ago)
Entity Number: 4137930
ZIP code: 11955
County: Suffolk
Place of Formation: New York
Address: 225 MONTAUK HIGHWAY, SUITE 109, MORICHES, NY, United States, 11955
Principal Address: 225 MONTAUK HWY SUITE 109, MORICHES, NY, United States, 10955

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHARON SULLIVAN Chief Executive Officer 225 MONTAUK HWY SUITE 109, MORICHES, NY, United States, 10955

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 225 MONTAUK HIGHWAY, SUITE 109, MORICHES, NY, United States, 11955

National Provider Identifier

NPI Number:
1427327626

Authorized Person:

Name:
MRS. SHARON ELIZABETH SULLIVAN
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
6318787015

Form 5500 Series

Employer Identification Number (EIN):
453258108
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
10
Sponsors Telephone Number:

History

Start date End date Type Value
2011-09-02 2012-03-08 Address 7 BEVERLY COURT, MORICHES, NY, 11955, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131108002295 2013-11-08 BIENNIAL STATEMENT 2013-09-01
120308000536 2012-03-08 CERTIFICATE OF AMENDMENT 2012-03-08
110902000321 2011-09-02 CERTIFICATE OF INCORPORATION 2011-09-02

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State