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SAMUEL GOTTESMAN, M.D., P.C.

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Company Details

Name: SAMUEL GOTTESMAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 01 Apr 1980 (45 years ago)
Date of dissolution: 27 Jun 2016
Entity Number: 617843
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 90 SOUTH ST., SUITE J, GLENS FALLS, NY, United States, 12801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SAMUEL GOTTESMAN, M.D. DOS Process Agent 90 SOUTH ST., SUITE J, GLENS FALLS, NY, United States, 12801

Chief Executive Officer

Name Role Address
SAMUEL GOTTESMAN, M.D. Chief Executive Officer 90 SOUTH ST., SUITE J, GLENS FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1750556312

Authorized Person:

Name:
SAMUEL GOTTESMAN
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
1980-04-01 1992-10-21 Address 90 SOUTH ST, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160627000646 2016-06-27 CERTIFICATE OF DISSOLUTION 2016-06-27
140623002113 2014-06-23 BIENNIAL STATEMENT 2014-04-01
120605002222 2012-06-05 BIENNIAL STATEMENT 2012-04-01
080408002978 2008-04-08 BIENNIAL STATEMENT 2008-04-01
060421002917 2006-04-21 BIENNIAL STATEMENT 2006-04-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State