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ALFRED J. COSSARI, M.D., P.C.

Company Details

Name: ALFRED J. COSSARI, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Apr 1980 (45 years ago)
Entity Number: 624333
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 3 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ALFRED J COSSARI DOS Process Agent 3 MEDICAL DRIVE, PORT JEFFERSON STA, NY, United States, 11776

National Provider Identifier

NPI Number:
1417250135

Authorized Person:

Name:
DR. ALFRED J COSSARI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
6319282353

Form 5500 Series

Employer Identification Number (EIN):
112539341
Plan Year:
2010
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
1986-08-08 1995-04-28 Name CHILDREN'S EYE CARE OF LONG ISLAND, P.C.
1985-05-29 1986-08-08 Name ALFRED J. COSSARI, M.D., P.C.
1980-04-29 1985-05-29 Name ALFRED J. COSSARI, P.C.

Filings

Filing Number Date Filed Type Effective Date
950428000111 1995-04-28 CERTIFICATE OF AMENDMENT 1995-04-28
B388810-4 1986-08-08 CERTIFICATE OF AMENDMENT 1986-08-08
B231427-4 1985-05-29 CERTIFICATE OF AMENDMENT 1985-05-29
A664271-4 1980-04-29 CERTIFICATE OF INCORPORATION 1980-04-29

Date of last update: 17 Mar 2025

Sources: New York Secretary of State