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PRESTIGE MEDICAL PHYSICIANS PLLC

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Company Details

Name: PRESTIGE MEDICAL PHYSICIANS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 May 2014 (11 years ago)
Entity Number: 4579015
ZIP code: 11507
County: Nassau
Place of Formation: New York
Address: 175 I U Willets Road, Ste 2B, Albertson, NY, United States, 11507

Contact Details

Phone +1 631-830-4065

DOS Process Agent

Name Role Address
STEVEN SAMUEL DOS Process Agent 175 I U Willets Road, Ste 2B, Albertson, NY, United States, 11507

National Provider Identifier

NPI Number:
1689083826
Certification Date:
2023-06-22

Authorized Person:

Name:
STEVEN K SAMUEL
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QE0002X - Emergency Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8882022608

History

Start date End date Type Value
2023-09-02 2024-05-02 Address 175 I U Willets Road, Ste 2B, Albertson, NY, 11507, USA (Type of address: Service of Process)
2018-03-27 2023-09-02 Address 185 OLD COUNTRY ROAD, STE 7, RIVERHEAD, NY, 11901, USA (Type of address: Service of Process)
2014-05-19 2018-03-27 Address 92 COVENTRY AVENUE, ALBERTSON, NY, 11507, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240502005583 2024-05-02 BIENNIAL STATEMENT 2024-05-02
230902000529 2023-09-02 BIENNIAL STATEMENT 2022-05-01
200519060285 2020-05-19 BIENNIAL STATEMENT 2020-05-01
180531006042 2018-05-31 BIENNIAL STATEMENT 2018-05-01
180327006195 2018-03-27 BIENNIAL STATEMENT 2016-05-01

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State