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NORTHEAST MEDICAL PRACTICE P.C.

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Company Details

Name: NORTHEAST MEDICAL PRACTICE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jan 2021 (5 years ago)
Entity Number: 5914451
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 180 S. MIDDLE NECK RD, APT. 3Q, GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 1000

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 180 S. MIDDLE NECK RD, APT. 3Q, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1700571353
Certification Date:
2023-04-27

Authorized Person:

Name:
WILLIAM A BERGER
Role:
OWNER/MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
861454901
Plan Year:
2024
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
210111000343 2021-01-11 CERTIFICATE OF INCORPORATION 2021-01-11

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State