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AMITYVILLE MEDICAL CARE, P.C.

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Company Details

Name: AMITYVILLE MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Jun 2015 (10 years ago)
Entity Number: 4768354
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 14 MALVERN LANE, STONY BROOK, NY, United States, 11790

Contact Details

Phone +1 718-837-8500

Phone +1 631-264-1800

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 14 MALVERN LANE, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1780064642

Authorized Person:

Name:
ELENA BORISOVNA PLAVNIK
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6312641813

History

Start date End date Type Value
2023-08-29 2024-02-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-06-03 2023-08-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2015-06-03 2024-02-23 Address 14 MALVERN LANE, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240223003479 2024-02-23 CERTIFICATE OF AMENDMENT 2024-02-23
150603000219 2015-06-03 CERTIFICATE OF INCORPORATION 2015-06-03

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State