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EDWARD J. MOHR, M.D., P.C.

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Company Details

Name: EDWARD J. MOHR, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 21 Dec 1977 (48 years ago)
Date of dissolution: 28 Jun 2018
Entity Number: 460670
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 1111 MONTAUK HGWY, WEST ISLIP, NY, United States, 11795

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
EDWARD J. MOHR, M.D., P.C. DOS Process Agent 1111 MONTAUK HGWY, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1619275245

Authorized Person:

Name:
EDWARD JAMES MOHR
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
6317892215

Form 5500 Series

Employer Identification Number (EIN):
112439941
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
180628000430 2018-06-28 CERTIFICATE OF DISSOLUTION 2018-06-28
20120223022 2012-02-23 ASSUMED NAME CORP INITIAL FILING 2012-02-23
A451800-5 1977-12-21 CERTIFICATE OF INCORPORATION 1977-12-21

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State