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LONG ISLAND PODIATRIC SURGERY, P.C.

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Company Details

Name: LONG ISLAND PODIATRIC SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Jun 2017 (8 years ago)
Entity Number: 5161487
ZIP code: 11755
County: Suffolk
Place of Formation: New York
Address: 97 POND PATH, LAKE GROVE, NY, United States, 11755

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 97 POND PATH, LAKE GROVE, NY, United States, 11755

National Provider Identifier

NPI Number:
1366293334
Certification Date:
2024-03-28

Authorized Person:

Name:
DR. BILL DALOSIS
Role:
PODIATRIST
Phone:

Taxonomy:

Selected Taxonomy:
213ES0131X - Foot Surgery Podiatrist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170627000531 2017-06-27 CERTIFICATE OF INCORPORATION 2017-06-27

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State