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SOUTHERN TIER MEDICAL CARE - NY, P.C.

SOUTHERN TIER MEDICAL CARE - NY, P.C.

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Company Details

Name:	SOUTHERN TIER MEDICAL CARE - NY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	29 Mar 2017 (8 years ago)
Entity Number:	5110680
ZIP code:	12207
County:	Broome
Place of Formation:	New York
Address:	80 STATE STREET, ALBANY, NY, United States, 12207
Principal Address:	169 RIVERSIDE DRIVE, BINGHAMTON, NY, United States, 13905

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
C/O CORPORATION SERVICE COMPANY	DOS Process Agent	80 STATE STREET, ALBANY, NY, United States, 12207

Chief Executive Officer

Name	Role	Address
JAGRAG S. RAI MD	Chief Executive Officer	169 RIVERSIDE DRIVE, BINGHAMPTON, NY, United States, 13905

National Provider Identifier

NPI Number:

1134646276

Link:

View on NPI website

Authorized Person:

Name:

DR. JAGRAJ RAI

Role:

PRESIDENT

Phone:

6077985742

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 607-798-5742

History

Start date	End date	Type	Value
2023-03-16	2023-12-06	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-16	2023-03-16	Address	169 RIVERSIDE DRIVE, BINGHAMPTON, NY, 13905, USA (Type of address: Chief Executive Officer)
2021-06-14	2023-03-16	Address	169 RIVERSIDE DRIVE, BINGHAMPTON, NY, 13905, USA (Type of address: Chief Executive Officer)
2021-05-24	2023-03-16	Address	80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2017-03-29	2023-03-16	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
230316003015	2023-03-16	BIENNIAL STATEMENT	2023-03-01
210614060167	2021-06-14	BIENNIAL STATEMENT	2021-03-01
210524000258	2021-05-24	CERTIFICATE OF CHANGE	2021-05-24
171129000642	2017-11-29	CERTIFICATE OF AMENDMENT	2017-11-29
170615000512	2017-06-15	CERTIFICATE OF AMENDMENT	2017-06-15

Tax Exempt

Employer Identification Number (EIN) :

82-1103087

In Care Of Name:

% SEAN MONAHAN CPA

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2018-05

National Taxonomy Of Exempt Entities:

Health Care: Single Organization Support

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State