| Name: | SHAFI WANI, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 30 Jul 1980 (45 years ago) |
| Entity Number: | 642229 |
| ZIP code: | 11793 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 1400 WANTAGH AVE, WANTAGH, NY, United States, 11793 |
| Principal Address: | 2500 NESCONSET HWY, STONY BROOK, NY, United States, 11790 |
Contact Details
Phone +1 631-689-3005
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| FRED SICA CPA PC | DOS Process Agent | 1400 WANTAGH AVE, WANTAGH, NY, United States, 11793 |
| Name | Role | Address |
|---|---|---|
| SHAFI WANI | Chief Executive Officer | 2500 NESCONSET HWY, STONY BROOK, NY, United States, 11790 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2005-06-17 | 2006-07-20 | Address | 2500 NESCONSET HWY, BLDG 15H, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer) |
| 2005-06-17 | 2006-07-20 | Address | 2500 NESCONSET HWY, BLDG 15H, STONY BROOK, NY, 11790, USA (Type of address: Principal Executive Office) |
| 1980-07-30 | 2005-06-17 | Address | 154 TERRY RD, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 081021002348 | 2008-10-21 | BIENNIAL STATEMENT | 2008-07-01 |
| 060720002205 | 2006-07-20 | BIENNIAL STATEMENT | 2006-07-01 |
| 050617002538 | 2005-06-17 | BIENNIAL STATEMENT | 2004-07-01 |
| A722730-4 | 1980-12-12 | CERTIFICATE OF AMENDMENT | 1980-12-12 |
| A687397-5 | 1980-07-30 | CERTIFICATE OF INCORPORATION | 1980-07-30 |
Date of last update: 17 Mar 2025
Sources: New York Secretary of State
