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LONG ISLAND PEDIATRICS OF PATCHOGUE, P.C.

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Company Details

Name: LONG ISLAND PEDIATRICS OF PATCHOGUE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Oct 2016 (9 years ago)
Entity Number: 5024548
ZIP code: 11704
County: Suffolk
Place of Formation: New York
Address: 393 SUNRISE HIGHWAY, SUITE 2, WEST BABYLON, NY, United States, 11704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 393 SUNRISE HIGHWAY, SUITE 2, WEST BABYLON, NY, United States, 11704

National Provider Identifier

NPI Number:
1699392357
Certification Date:
2020-06-29

Authorized Person:

Name:
DR. RAMON E FERRAND
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
161018000249 2016-10-18 CERTIFICATE OF INCORPORATION 2016-10-18

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State