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BOARD CERTIFIED INTERNISTS OF STATEN ISLAND PLLC

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Company Details

Name: BOARD CERTIFIED INTERNISTS OF STATEN ISLAND PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 09 Nov 2011 (14 years ago)
Date of dissolution: 01 Oct 2015
Entity Number: 4164011
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 1550 RICHMOND AVE SUITE 202, STATEN ISLAND, NY, United States, 10314

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1550 RICHMOND AVE SUITE 202, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1881966182

Authorized Person:

Name:
CARL GREGORY SCEUSA
Role:
PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
7183707798

Filings

Filing Number Date Filed Type Effective Date
151001000118 2015-10-01 CERTIFICATE OF DISSOLUTION 2015-10-01
111109000773 2011-11-09 ARTICLES OF ORGANIZATION 2011-11-09

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State