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CEDARHURST MEDICAL ASSOCIATES, P.C.

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Company Details

Name: CEDARHURST MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Apr 1977 (48 years ago)
Entity Number: 430650
ZIP code: 11691
County: Nassau
Place of Formation: New York
Address: 407 BEACH 20TH STREET, FAR ROCKAWAY, NY, United States, 11691

Contact Details

Phone +1 718-869-8282

Phone +1 516-374-7333

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DMITRIY ELKIN Chief Executive Officer 407 BEACH 20TH ST, FAR ROCKAWAY, NY, United States, 11691

DOS Process Agent

Name Role Address
CEDARHURST MEDICAL ASSOCIATES, P.C. DOS Process Agent 407 BEACH 20TH STREET, FAR ROCKAWAY, NY, United States, 11691

National Provider Identifier

NPI Number:
1053532234
Certification Date:
2024-10-21

Authorized Person:

Name:
DR. DMITRIY ELKIN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7183371548

Form 5500 Series

Employer Identification Number (EIN):
112415787
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
2013-05-07 2017-01-11 Address 407 BEACH 20TH ST, FAR ROCKAWAY, NY, 11691, USA (Type of address: Chief Executive Officer)
2011-04-26 2013-05-07 Address 407 13TH-20TH ST, QUEENS, NY, 11516, USA (Type of address: Chief Executive Officer)
1997-04-10 2017-01-11 Address 581 CHESTNUT STREET, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office)
1997-04-10 2017-01-11 Address 581 CHESTNUT STREET, CEDARHURST, NY, 11516, USA (Type of address: Service of Process)
1992-10-29 1997-04-10 Address 581 CHESTNUT STREET, CEDARHURST, NY, 11516, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
170111006253 2017-01-11 BIENNIAL STATEMENT 2015-04-01
130507002133 2013-05-07 BIENNIAL STATEMENT 2013-04-01
110426002275 2011-04-26 BIENNIAL STATEMENT 2011-04-01
20100222009 2010-02-22 ASSUMED NAME CORP INITIAL FILING 2010-02-22
090415002838 2009-04-15 BIENNIAL STATEMENT 2009-04-01

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State