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ISLAND PLASTIC SURGERY, P.C.

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Company Details

Name: ISLAND PLASTIC SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Dec 2020 (5 years ago)
Entity Number: 5901638
ZIP code: 11767
County: Suffolk
Place of Formation: New York
Address: 69 TIFFANY WAY, NESCONSET, NY, United States, 11767

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MILA KOTE DOS Process Agent 69 TIFFANY WAY, NESCONSET, NY, United States, 11767

National Provider Identifier

NPI Number:
1679228993
Certification Date:
2022-02-15

Authorized Person:

Name:
ADRIANA PUGLISI
Role:
BILLING/PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0105X - Surgery of the Hand (Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
6315400030

Form 5500 Series

Employer Identification Number (EIN):
200612642
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
201222000267 2020-12-22 CERTIFICATE OF INCORPORATION 2020-12-22

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State