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NEW HYDE PARK INTERNAL MEDICINE SPECIALISTS, P.C.

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Company Details

Name: NEW HYDE PARK INTERNAL MEDICINE SPECIALISTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 14 Jun 1978 (47 years ago)
Date of dissolution: 20 Feb 2013
Entity Number: 494656
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 2035 LAKEVILLE RD, NEW HYDE PARK, NY, United States, 11040

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
JEFFREY W. MARX, M.D., P.C. DOS Process Agent 2035 LAKEVILLE RD, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1316000466

Authorized Person:

Name:
MRS. ARLENE IRWIN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
5163546048

Form 5500 Series

Employer Identification Number (EIN):
112458161
Plan Year:
2011
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
20170308067 2017-03-08 ASSUMED NAME LLC INITIAL FILING 2017-03-08
130220001142 2013-02-20 CERTIFICATE OF DISSOLUTION 2013-02-20
A498629-5 1978-07-03 CERTIFICATE OF AMENDMENT 1978-07-03
A493982-5 1978-06-14 CERTIFICATE OF INCORPORATION 1978-06-14

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State