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STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

Company Details

Name:	STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	16 Jan 1980 (45 years ago)
Entity Number:	602484
ZIP code:	11794
County:	Suffolk
Place of Formation:	New York
Address:	HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
STONY BROOK PATHOLOGY UFPC / CLINICAL PRACTICE MGMT PLAN	DOS Process Agent	HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

National Provider Identifier

NPI Number:

1912944794

Link:

View on NPI website

Authorized Person:

Name:

KENNETH SHROYER

Role:

CHAIR PERSON

Phone:

6314443000

Taxonomy:

Selected Taxonomy:

207ZP0102X - Anatomic Pathology & Clinical Pathology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-444-3000

History

Start date	End date	Type	Value
2003-06-26	2006-06-23	Address	UNIVERSITY HOSPITAL, NICOLLS RD, STONY BROOK, NY, 11794, USA (Type of address: Service of Process)
1980-01-16	2023-05-02	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1980-01-16	2003-06-26	Address	10 EAT 40TH ST., NEW YORK, NY, 10016, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
060623000137	2006-06-23	CERTIFICATE OF REINCORPORATION	2006-06-23
040206002872	2004-02-06	BIENNIAL STATEMENT	2004-01-01
030626002595	2003-06-26	BIENNIAL STATEMENT	2002-01-01
A636032-4	1980-01-16	CERTIFICATE OF INCORPORATION	1980-01-16

Tax Exempt

Employer Identification Number (EIN) :

11-2647243

In Care Of Name:

% SB CLINICAL PRAC MGMT PLAN I

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2008-02

National Taxonomy Of Exempt Entities:

Health Care: Hospitals and Related Primary Medical Care Facilities

Deductibility:

Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 17 Mar 2025

Sources: New York Secretary of State