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EMPIRE URGENT CARE, PLLC

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Company Details

Name: EMPIRE URGENT CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Inactive
Date of registration: 09 Mar 2012 (13 years ago)
Date of dissolution: 03 Feb 2020
Entity Number: 4214317
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 1551 RICHMOND RD, UNIT 1A, STATEN ISLAND, NY, United States, 10304

Contact Details

Phone +1 718-331-2266

Phone +1 718-701-6633

Phone +1 718-987-4891

Phone +1 718-948-4948

DOS Process Agent

Name Role Address
ROBERT W. MALIZIA, M.D. DOS Process Agent 1551 RICHMOND RD, UNIT 1A, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1225394620
Certification Date:
2021-02-10

Authorized Person:

Name:
RUBABA HUSSAIN
Role:
SOLE OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3472695569

Form 5500 Series

Employer Identification Number (EIN):
454793506
Plan Year:
2017
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2012-03-09 2016-03-04 Address 454 SOUTH MAPLE AVENUE, GLEN ROCK, NJ, 07452, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200203000420 2020-02-03 CERTIFICATE OF DISSOLUTION 2020-02-03
181004000516 2018-10-04 CERTIFICATE OF AMENDMENT 2018-10-04
160304006764 2016-03-04 BIENNIAL STATEMENT 2016-03-01
140311006320 2014-03-11 BIENNIAL STATEMENT 2014-03-01
120716000896 2012-07-16 CERTIFICATE OF PUBLICATION 2012-07-16

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State