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  5. STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

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Company Details

Name: STONY BROOK RADIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Apr 1980 (45 years ago)
Entity Number: 621232
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 RADIOLOGY, 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:
1366497448
Certification Date:
2023-07-06
Link:
View on NPI website

Authorized Person:

Name:
DR. ELAINE S GOULD
Role:
CHAIR PERSON
Phone:
6314443452

Taxonomy:

Selected Taxonomy:
2085R0204X - Vascular & Interventional Radiology Physician
Is Primary:
No
Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 631-444-3452

Form 5500 Series

Employer Identification Number (EIN):
112548304
Plan Year:
2011
Number Of Participants:
31
Sponsors Telephone Number:
5164442480
File:
View File
Plan Year:
2011
Number Of Participants:
29
Sponsors Telephone Number:
5164442480
File:
View File
Plan Year:
2010
Number Of Participants:
30
Sponsors Telephone Number:
5164442480
File:
View File
Plan Year:
2010
Number Of Participants:
32
Sponsors Telephone Number:
5164442480
File:
View File
Plan Year:
2009
Number Of Participants:
35
Sponsors Telephone Number:
5164442480
File:
View File

History

Start date End date Type Value
2023-09-01 2024-01-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-02 2023-09-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-07-28 2023-05-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-09-07 2022-07-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2003-06-30 2006-06-23 Address UNIVERSITY HOSPITAL LEVEL 4, NICOLLS RD, HSC L4 RM 120, STONY BROOK, NY, 11794, 8460, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060623000158 2006-06-23 CERTIFICATE OF REINCORPORATION 2006-06-23
060504002482 2006-05-04 BIENNIAL STATEMENT 2006-04-01
040427002400 2004-04-27 BIENNIAL STATEMENT 2004-04-01
030630002409 2003-06-30 BIENNIAL STATEMENT 2002-04-01
A660322-6 1980-04-14 CERTIFICATE OF INCORPORATION 1980-04-14

USAspending Awards / Financial Assistance

Date:
2020-05-03
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1200900.00
Total Face Value Of Loan:
1200900.00

Tax Exempt

Employer Identification Number (EIN) :
11-2548304
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)

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HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

NEUROLOGY ASSOCIATES OF STONY BROOK, UNIVERSITY FACULTY PRACTICE CORPORATION NEW YORK SPINE & BRAIN SURGERY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK CHILDREN'S SERVICE UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK DERMATOLOGY ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK EMERGENCY PHYSICIANS, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK FAMILY AND PREVENTIVE MEDICINE, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK OPHTHALMOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK ORTHOPAEDIC ASSOCIATES, UNIVERSITY FACULTY PRACTICE CORPORATION STONY BROOK PATHOLOGISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

Date of last update: 17 Mar 2025

Sources: New York Secretary of State

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