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THEODORE N. ISSEKS, M.D., P.C.

Company Details

Name: THEODORE N. ISSEKS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Oct 1979 (46 years ago)
Entity Number: 584812
ZIP code: 12754
County: Sullivan
Place of Formation: New York
Address: 10 NORTH MAIN STREET, LIBERTY, NY, United States, 12754
Principal Address: 8 SWAN LAKE ROAD, LIBERTY, NY, United States, 12754

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 NORTH MAIN STREET, LIBERTY, NY, United States, 12754

Chief Executive Officer

Name Role Address
THEODORE N. ISSEKS Chief Executive Officer 8 SWAN LAKE ROAD, LIBERTY, NY, United States, 12754

National Provider Identifier

NPI Number:
1215206628

Authorized Person:

Name:
DR. THEODORE NATHAN ISSEKS
Role:
OWNER/M.D.
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
8452921821

Form 5500 Series

Employer Identification Number (EIN):
141614928
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
1979-10-01 1993-10-22 Address 10 NORTH MAIN ST, LOBERTY, NY, 12754, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
20210526010 2021-05-26 ASSUMED NAME LLC INITIAL FILING 2021-05-26
931022003466 1993-10-22 BIENNIAL STATEMENT 1993-10-01
930113002441 1993-01-13 BIENNIAL STATEMENT 1992-10-01
A610471-4 1979-10-01 CERTIFICATE OF INCORPORATION 1979-10-01

Date of last update: 17 Mar 2025

Sources: New York Secretary of State