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NORTH SHORE DERMATOLOGY ASSOCIATES, P.C.

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Company Details

Name: NORTH SHORE DERMATOLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 07 Jul 1980 (45 years ago)
Date of dissolution: 31 Jan 2014
Entity Number: 637421
ZIP code: 11596
County: Nassau
Place of Formation: New York
Address: 2G HILLSIDE AVENUE, WILLISTON PARK, NY, United States, 11596

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ROBERT L. PALTZIK, MD Chief Executive Officer 2G HILLSIDE AVENUE, WILLISTON PARK, NY, United States, 11596

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2G HILLSIDE AVENUE, WILLISTON PARK, NY, United States, 11596

National Provider Identifier

NPI Number:
1245414259

Authorized Person:

Name:
DR. ROBERT L PALTZIK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5167471087

History

Start date End date Type Value
1998-07-13 2006-07-05 Address 2G HILLSIDE AVE, WILLISTON PARK, NY, 11596, USA (Type of address: Service of Process)
1996-08-13 2006-07-05 Address 2G HILLSIDE AVE, WILLISTON PARK, NY, 11596, USA (Type of address: Chief Executive Officer)
1996-08-13 2006-07-05 Address 2G HILLSIDE AVE, WILLISTON PARK, NY, 11596, USA (Type of address: Principal Executive Office)
1996-08-13 1998-07-13 Address 2G HILLSIDE AVE, WILLISTON PARK, NY, 11596, USA (Type of address: Service of Process)
1993-08-27 1996-08-13 Address 34 WHITNEY LANE, BROOKVILLE, NY, 11545, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
140131000824 2014-01-31 CERTIFICATE OF DISSOLUTION 2014-01-31
100806002587 2010-08-06 BIENNIAL STATEMENT 2010-07-01
080724002046 2008-07-24 BIENNIAL STATEMENT 2008-07-01
060705002735 2006-07-05 BIENNIAL STATEMENT 2006-07-01
040816002056 2004-08-16 BIENNIAL STATEMENT 2004-07-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State