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DOUGHTY & RYZOVA MEDICAL GROUP, P.C.

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Company Details

Name: DOUGHTY & RYZOVA MEDICAL GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Jun 2016 (9 years ago)
Entity Number: 4963141
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 207 Hallock Rd #106, Stony Brook, NY, United States, 11790
Principal Address: 2500 Nesconsent Hwy #14, Stony Brook, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
YEKATERINA RYZOVA DOS Process Agent 207 Hallock Rd #106, Stony Brook, NY, United States, 11790

Chief Executive Officer

Name Role Address
YEKATERINA RYZOVA Chief Executive Officer 2500 NESCONSENT HWY #14, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1306394978
Certification Date:
2022-11-16

Authorized Person:

Name:
KATHLEEN ANN RUSSO
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
6316750736

Form 5500 Series

Employer Identification Number (EIN):
812987049
Plan Year:
2024
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Plan Year:
2021
Number Of Participants:
7
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2024-06-01 2024-06-01 Address 2500 NESCONSENT HWY #14, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2016-06-15 2024-06-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2016-06-15 2024-06-01 Address 8 HIGH PATH, BELLE TERRE, NY, 11777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240601036233 2024-06-01 BIENNIAL STATEMENT 2024-06-01
220203003821 2022-02-03 BIENNIAL STATEMENT 2022-02-03
160615000049 2016-06-15 CERTIFICATE OF INCORPORATION 2016-06-15

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State