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A. CIPOLLA MEDICAL SERVICES, P.C.

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Company Details

Name: A. CIPOLLA MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 30 Sep 2011 (14 years ago)
Date of dissolution: 15 Oct 2021
Entity Number: 4148436
ZIP code: 11703
County: Suffolk
Place of Formation: New York
Address: 1350 DEER PARK AVENUE, NORTH BABYLON, NY, United States, 11703
Principal Address: 1350 DEER PARK AVE., NORTH BABYLON, NY, United States, 11703

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1350 DEER PARK AVENUE, NORTH BABYLON, NY, United States, 11703

Chief Executive Officer

Name Role Address
ANTHONY CIPOLLA MD Chief Executive Officer 1350 DEER PARK AVE., NORTH BABYLON, NY, United States, 11703

National Provider Identifier

NPI Number:
1760766174

Authorized Person:

Name:
DR. ANTHONY CIPOLLA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
6314226597

History

Start date End date Type Value
2021-10-15 2022-06-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-10-05 2021-10-15 Address 1350 DEER PARK AVE., NORTH BABYLON, NY, 11703, USA (Type of address: Chief Executive Officer)
2011-09-30 2021-10-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-09-30 2021-10-15 Address 1350 DEER PARK AVENUE, NORTH BABYLON, NY, 11703, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211015001898 2021-10-15 CERTIFICATE OF DISSOLUTION-CANCELLATION 2021-10-15
151005007104 2015-10-05 BIENNIAL STATEMENT 2015-09-01
110930000416 2011-09-30 CERTIFICATE OF INCORPORATION 2011-09-30

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State