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STONY BROOK ANAESTHESIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

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Company Details

Name: STONY BROOK ANAESTHESIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Dec 1980 (44 years ago)
Entity Number: 666728
ZIP code: 11794
County: Suffolk
Place of Formation: New York
Address: SCIENCES CTR. LEVEL 5 ROOM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794
Principal Address: DEPT OF ANESTHESIOLOGY, SUNY STONY BROOK, 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
THE CORPORATION C/O CLINICAL PRACTICE MANAGEMENT PLAN, HEALTH DOS Process Agent SCIENCES CTR. LEVEL 5 ROOM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, United States, 11794

Chief Executive Officer

Name Role Address
PETER GLASS MD Chief Executive Officer DEPT OF ANESTHESIOLOGY, SUNY STONY BROOK, STONY BROOK, NY, United States, 11794

National Provider Identifier

NPI Number:
1801841184

Authorized Person:

Name:
DR. TONG JOO GAN
Role:
CHAIR PERSON
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-06-15 2025-02-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-30 2023-06-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-11-08 2023-05-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-06-22 2010-07-06 Address HEALTH SCIENCES CTR L5 RM 048, STONY BROOK UNIVERSITY, STONY BROOK, NY, 11794, USA (Type of address: Service of Process)
2006-06-22 2010-07-06 Name STONY BROOK ANAETHESIOLOGY, UNIVERSITY FACULTY PRACTICE CORPORATION

Filings

Filing Number Date Filed Type Effective Date
100706000199 2010-07-06 CERTIFICATE OF AMENDMENT 2010-07-06
060622000394 2006-06-22 CERTIFICATE OF REINCORPORATION 2006-06-22
050120002916 2005-01-20 BIENNIAL STATEMENT 2004-12-01
021209002350 2002-12-09 BIENNIAL STATEMENT 2002-12-01
010125002300 2001-01-25 BIENNIAL STATEMENT 2000-12-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State