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MORRIS CHARYTAN, M.D., P.C.

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Company Details

Name: MORRIS CHARYTAN, 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: 642367
ZIP code: 11580
County: Nassau
Place of Formation: New York
Address: 430 W. MERRICK RD., VALLEY STREAM, NY, United States, 11580

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
EUGENE DEBLASIO, M.D., P.C. DOS Process Agent 430 W. MERRICK RD., VALLEY STREAM, NY, United States, 11580

National Provider Identifier

NPI Number:
1891778577

Authorized Person:

Name:
DR. MORRIS CHARYTAN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
5168258317

Form 5500 Series

Employer Identification Number (EIN):
112536506
Plan Year:
2012
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
19
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
030409000136 2003-04-09 CERTIFICATE OF AMENDMENT 2003-04-09
A687598-5 1980-07-30 CERTIFICATE OF INCORPORATION 1980-07-30

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State