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CARL MILLS, M.D. P.C.

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Company Details

Name: CARL MILLS, M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 29 Nov 2011 (14 years ago)
Date of dissolution: 01 Jul 2014
Entity Number: 4170467
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 250 YAPHANK ROAD, EAST PATCHOGUE, NY, United States, 11772
Principal Address: 250 YAPHANK RD STE 11B, EAST PATCHOGUE, NY, United States, 11772

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 250 YAPHANK ROAD, EAST PATCHOGUE, NY, United States, 11772

Chief Executive Officer

Name Role Address
CARL MILLS MD Chief Executive Officer 250 YAPHANK RD STE 11B, EAST PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1437426764

Authorized Person:

Name:
DR. CARL MILLS II
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6314755140

Filings

Filing Number Date Filed Type Effective Date
140701000027 2014-07-01 CERTIFICATE OF DISSOLUTION 2014-07-01
131211002186 2013-12-11 BIENNIAL STATEMENT 2013-11-01
111129000618 2011-11-29 CERTIFICATE OF INCORPORATION 2011-11-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State