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LAKE ERIE MEDICAL SERVICES, P.C.

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Company Details

Name: LAKE ERIE MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Oct 2011 (14 years ago)
Entity Number: 4149454
ZIP code: 14048
County: Chautauqua
Place of Formation: New York
Address: 529 CENTRAL AVE., DUNKIRK, NY, United States, 14048

Contact Details

Phone +1 716-672-2000

Phone +1 716-952-4266

Phone +1 716-366-5222

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR. JOHN TALLETT, PRESIDENT Chief Executive Officer 529 CENTRAL AVE., DUNKIRK, NY, United States, 14048

DOS Process Agent

Name Role Address
C/O BROOKS-TLC HOSPITAL SYSTEM, INC ADMINISTRATION DOS Process Agent 529 CENTRAL AVE., DUNKIRK, NY, United States, 14048

National Provider Identifier

NPI Number:
1437406931
Certification Date:
2023-01-13

Authorized Person:

Name:
DR. MARLENE HASSENFRATZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
7166724414

Form 5500 Series

Employer Identification Number (EIN):
452832259
Plan Year:
2019
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2019-10-03 2021-07-08 Address 529 CENTRAL AVE., DUNKIRK, NY, 14048, USA (Type of address: Service of Process)
2017-10-04 2021-07-08 Address 529 CENTRAL AVE., DUNKIRK, NY, 14048, USA (Type of address: Chief Executive Officer)
2013-10-10 2017-10-04 Address 529 CENTRAL AVE., DUNKIRK, NY, 14048, USA (Type of address: Chief Executive Officer)
2013-10-10 2019-10-03 Address 529 CENTRAL AVE., DUNKIRK, NY, 14048, USA (Type of address: Principal Executive Office)
2011-10-04 2021-07-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210708001700 2021-07-02 CERTIFICATE OF AMENDMENT 2021-07-02
191003060167 2019-10-03 BIENNIAL STATEMENT 2019-10-01
171004006085 2017-10-04 BIENNIAL STATEMENT 2017-10-01
161114000415 2016-11-14 CERTIFICATE OF AMENDMENT 2016-11-14
151006006489 2015-10-06 BIENNIAL STATEMENT 2015-10-01

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State