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ISLAND NEPHROLOGY CONSULTANTS P.C.

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Company Details

Name: ISLAND NEPHROLOGY CONSULTANTS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 13 Jun 2012 (13 years ago)
Date of dissolution: 23 Mar 2016
Entity Number: 4258374
ZIP code: 11773
County: Suffolk
Place of Formation: New York
Address: 39 OLD COACH ROAD, EAST SETAUKET, NY, United States, 11773

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O PERRI CAROL FITTERMAN, ESQ. DOS Process Agent 39 OLD COACH ROAD, EAST SETAUKET, NY, United States, 11773

National Provider Identifier

NPI Number:
1336494053

Authorized Person:

Name:
SUSAN SANGINARIO
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
160323000304 2016-03-23 CERTIFICATE OF DISSOLUTION 2016-03-23
120613000972 2012-06-13 CERTIFICATE OF INCORPORATION 2012-06-13

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State