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THE LAKE MEDICAL SERVICES P.C.

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Company Details

Name: THE LAKE MEDICAL SERVICES P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Oct 2013 (12 years ago)
Entity Number: 4476053
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 171 LAKE ROAD, APT. 1, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
FREDDY DESORMEAUX DOS Process Agent 171 LAKE ROAD, APT. 1, HUNTINGTON, NY, United States, 11743

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
W2PBEKBKZGR2
CAGE Code:
9KQE1
UEI Expiration Date:
2024-05-14

Business Information

Division Name:
THE LAKE MEDICAL SERVICES PC
Activation Date:
2023-05-26
Initial Registration Date:
2023-01-30

National Provider Identifier

NPI Number:
1538575857

Authorized Person:

Name:
DR. FREDDY DESORMEAUX
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9143572489

History

Start date End date Type Value
2013-10-22 2022-03-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
131022000358 2013-10-22 CERTIFICATE OF INCORPORATION 2013-10-22

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State