Search icon

ERIC FANAEE, M.D., P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: ERIC FANAEE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jun 2019 (6 years ago)
Entity Number: 5576980
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 380 montauk highway, WEST ISLIP, NY, United States, 11795
Principal Address: 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

Contact Details

Phone +1 631-422-5371

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORP. DOS Process Agent 380 montauk highway, WEST ISLIP, NY, United States, 11795

Chief Executive Officer

Name Role Address
ERIC FANAEE, MD Chief Executive Officer 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1811548142
Certification Date:
2022-01-26

Authorized Person:

Name:
ERIC FANAEE
Role:
DIRECT OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6318938012

History

Start date End date Type Value
2025-06-05 2025-06-05 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2023-06-06 2025-06-05 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2023-06-06 2025-06-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-06 2025-06-05 Address 380 montauk highway, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)
2023-06-06 2023-06-06 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250605000521 2025-06-05 BIENNIAL STATEMENT 2025-06-05
230606000183 2023-06-06 BIENNIAL STATEMENT 2023-06-01
220126000263 2022-01-26 BIENNIAL STATEMENT 2022-01-26
220428002714 2021-08-16 CERTIFICATE OF CHANGE BY ENTITY 2021-08-16
190625000311 2019-06-25 CERTIFICATE OF INCORPORATION 2019-06-25

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 23 Mar 2025

Sources: New York Secretary of State