Search icon

LONG ISLAND INTERNAL MEDICINE PLLC

Company Details

Name: LONG ISLAND INTERNAL MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jan 2013 (12 years ago)
Entity Number: 4342533
ZIP code: 11753
County: Nassau
Place of Formation: New York
Address: 110 FOXWOOD DRIVE, JERICHO, NY, United States, 11753

Contact Details

Phone +1 718-424-7800

Phone +1 718-809-1434

Phone +1 718-535-7927

Phone +1 718-806-1434

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 110 FOXWOOD DRIVE, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1376880013
Certification Date:
2021-06-29

Authorized Person:

Name:
MR. MUKUL KHURANA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7184240888

Form 5500 Series

Employer Identification Number (EIN):
461711220
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2013-01-08 2017-07-26 Address 100 RING ROAD, SUITE 300, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211012001261 2021-10-12 BIENNIAL STATEMENT 2021-10-12
170726006134 2017-07-26 BIENNIAL STATEMENT 2017-01-01
140428000516 2014-04-28 CERTIFICATE OF AMENDMENT 2014-04-28
130411000918 2013-04-11 CERTIFICATE OF PUBLICATION 2013-04-11
130108000315 2013-01-08 ARTICLES OF ORGANIZATION 2013-01-08

Date of last update: 26 Mar 2025

Sources: New York Secretary of State