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ALL ISLAND MEDICAL SERVICES, P.C.

Company Details

Name: ALL ISLAND MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Feb 2020 (5 years ago)
Entity Number: 5717080
ZIP code: 11753
County: Suffolk
Place of Formation: New York
Address: 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PETER BIRZON & ASSOCIATES, P.C. DOS Process Agent 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1053949248
Certification Date:
2020-04-01

Authorized Person:

Name:
ERIC FANAEE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes
Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200227000015 2020-02-27 CERTIFICATE OF INCORPORATION 2020-02-27

Date of last update: 23 Mar 2025

Sources: New York Secretary of State