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TSUKERMAN MEDICAL P.C.

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Company Details

Name: TSUKERMAN MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 05 Oct 2011 (14 years ago)
Date of dissolution: 05 Nov 2019
Entity Number: 4150219
ZIP code: 11218
County: Kings
Place of Formation: New York
Address: 514 OCEAN PKWY L2, BROOKLYN, NY, United States, 11218

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TSUKERMAN MEDICAL P.C. DOS Process Agent 514 OCEAN PKWY L2, BROOKLYN, NY, United States, 11218

Chief Executive Officer

Name Role Address
TSUKERMAN ZHANNA Chief Executive Officer 514 OCEAN PKWY L2, BROKLYN, NY, United States, 11218

National Provider Identifier

NPI Number:
1922368679

Authorized Person:

Name:
DR. ZHANNA TSUKERMAN
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
133N00000X - Nutritionist
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
830694747
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2011-10-05 2021-06-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-10-05 2014-01-14 Address 732 DUNNE COURT, 1ST FL., BROOKLYN, NY, 11235, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191105000669 2019-11-05 CERTIFICATE OF DISSOLUTION 2019-11-05
140114006519 2014-01-14 BIENNIAL STATEMENT 2013-10-01
111005000704 2011-10-05 CERTIFICATE OF INCORPORATION 2011-10-05

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State