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MEDICAL SERVICES OF SETAUKET, P.C.

Company Details

Name: MEDICAL SERVICES OF SETAUKET, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 2020 (5 years ago)
Entity Number: 5680506
ZIP code: 11042
County: Nassau
Place of Formation: New York
Address: ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

Contact Details

Phone +1 631-689-8333

Phone +1 631-828-3400

Phone +1 631-474-6000

Phone +1 631-751-8700

Phone +1 631-473-1320

Shares Details

Shares issued 100

Share Par Value 1

Type PAR VALUE

DOS Process Agent

Name Role Address
MEDICAL SERVICES OF SETAUKET, P.C. DOS Process Agent ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, United States, 11042

National Provider Identifier

NPI Number:
1861026106
Certification Date:
2022-07-08

Authorized Person:

Name:
MRS. MICHELE L CUSACK
Role:
SENIOR VICE PRESIDENT & CFO
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
6317515971

History

Start date End date Type Value
2021-11-17 2025-04-30 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 1
2021-11-17 2025-04-30 Address ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)
2020-01-02 2021-11-17 Shares Share type: PAR VALUE, Number of shares: 100, Par value: 1
2020-01-02 2021-11-17 Address ATTN: OFFICE OF LEGAL AFFAIRS, 2000 MARCUS AVENUE, NEW HYDE PARK, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250430024065 2025-04-30 BIENNIAL STATEMENT 2025-04-30
211117000570 2021-11-17 CERTIFICATE OF AMENDMENT 2021-11-17
200102000522 2020-01-02 CERTIFICATE OF INCORPORATION 2020-01-02

Date of last update: 23 Mar 2025

Sources: New York Secretary of State