| Name: | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 02 Oct 1947 (77 years ago) |
| Entity Number: | 70630 |
| ZIP code: | 11772 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | attn: chief executive officer, 101 hospital road, PATCHOGUE, NY, United States, 11772 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DCYUNYGFTZ49 | 2025-02-21 | 101 HOSPITAL RD, PATCHOGUE, NY, 11772, 4870, USA | 101 HOSPITAL ROAD, PATCHOGUE, NY, 11772, 4870, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC |
| Congressional District | 02 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-02-26 |
| Initial Registration Date | 2005-06-07 |
| Entity Start Date | 1956-05-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621420, 621492, 621999, 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELE MILLER |
| Address | 101 HOSPITAL ROAD, E PATCHOGUE, NY, 11772, 4870, USA |
| Title | ALTERNATE POC |
| Name | MICHELE MILLER |
| Address | 101 HOSPITAL ROAD, E PATCHOGUE, NY, 11772, 4870, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELE MILLER |
| Address | 101 HOSPITAL ROAD, E PATCHOGUE, NY, 11772, 4870, USA |
| Title | ALTERNATE POC |
| Name | MAGGIE LACHCIK |
| Address | 101 HOSPITAL ROAD, E PATCHOGUE, NY, 11772, 4870, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELE MILLER |
| Address | 101 HOSPITAL ROAD, E PATCHOGUE, NY, 11772, 4870, USA |
| Title | ALTERNATE POC |
| Name | CHRISTINA BRAUN |
| Address | 12 ALBERMARE AVE, HOLTSVILLE, NY, 11742, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4APY7 | Active | Non-Manufacturer | 2005-06-06 | 2024-03-04 | 2029-02-26 | 2025-02-21 | |||||||||||||||
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| POC | MICHELE MILLER |
| Phone | +1 631-447-3002 |
| Fax | +1 631-654-7491 |
| Address | 101 HOSPITAL RD, PATCHOGUE, NY, 11772 4870, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | attn: chief executive officer, 101 hospital road, PATCHOGUE, NY, United States, 11772 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1983-12-20 | 2022-03-01 | Address | 101 HOSPITAL RD., PATCHOGUE, NY, 11772, USA (Type of address: Service of Process) |
| 1978-09-18 | 2022-03-01 | Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. |
| 1978-09-18 | 1983-12-20 | Address | 101 JOSPITAL RD, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process) |
| 1972-07-20 | 1978-09-18 | Address | 101 HOSPITAL RD., E PATCHOGUE, NY, 11772, USA (Type of address: Service of Process) |
| 1947-10-02 | 1978-09-18 | Name | BROOKHAVEN MEMORIAL ASSOCIATION, INC. |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220301001386 | 2022-03-01 | CERTIFICATE OF AMENDMENT | 2022-03-01 |
| B051081-12 | 1983-12-20 | CERTIFICATE OF AMENDMENT | 1983-12-20 |
| A850166-2 | 1982-03-16 | ASSUMED NAME CORP INITIAL FILING | 1982-03-16 |
| A516358-6 | 1978-09-18 | CERTIFICATE OF AMENDMENT | 1978-09-18 |
| A3644-3 | 1972-07-20 | CERTIFICATE OF AMENDMENT | 1972-07-20 |
| 574Q-58 | 1953-06-03 | CERTIFICATE OF AMENDMENT | 1953-06-03 |
| 36EX-174 | 1952-03-11 | CERTIFICATE OF AMENDMENT | 1952-03-11 |
| 489Q-42 | 1947-10-02 | CERTIFICATE OF INCORPORATION | 1947-10-02 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | CPSCN080133 | 2008-09-08 | 2008-09-30 | 2008-09-30 | |||||||||||||||||||||
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| Title | DATA ON PRODUCT-RELATED INJURIES |
| NAICS Code | 518210: DATA PROCESSING, HOSTING, AND RELATED SERVICES |
| Product and Service Codes | R702: DATA COLLECTION SERVICES |
Recipient Details
| Recipient | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH |
| UEI | DCYUNYGFTZ49 |
| Legacy DUNS | 061964896 |
| Recipient Address | UNITED STATES, 101 HOSPITAL ROAD, EAST PATCHOGUE, 117724870 |
| Unique Award Key | CONT_AWD_CPSCN060117_6100_-NONE-_-NONE- |
| Awarding Agency | Consumer Product Safety Commission |
| Link | View Page |
Description
| Title | DATA ON PRODUCT-RELATED INJURIES |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | R702: DATA COLLECTION SERVICES |
Recipient Details
| Recipient | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH |
| UEI | DCYUNYGFTZ49 |
| Legacy DUNS | 061964896 |
| Recipient Address | UNITED STATES, 101 HOSPITAL ROAD, EAST PATCHOGUE, 117724870 |
| Unique Award Key | CONT_AWD_CPSCN100129_6100_-NONE-_-NONE- |
| Awarding Agency | Consumer Product Safety Commission |
| Link | View Page |
Description
| Title | DATA ON PRODUCT-RELATED INJURIES |
| NAICS Code | 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES |
| Product and Service Codes | R702: DATA COLLECTION SERVICES |
Recipient Details
| Recipient | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH |
| UEI | DCYUNYGFTZ49 |
| Legacy DUNS | 061964896 |
| Recipient Address | UNITED STATES, 101 HOSPITAL RD, EAST PATCHOGUE, 117724870 |
| Unique Award Key | CONT_AWD_CPSCN120109_6100_-NONE-_-NONE- |
| Awarding Agency | Consumer Product Safety Commission |
| Link | View Page |
Description
| Title | OTHER FUNCTIONS - DATA ON PRODUCT-RELATED INJURIES |
| NAICS Code | 541990: ALL OTHER PROFESSIONAL, SCIENTIFIC, AND TECHNICAL SERVICES |
| Product and Service Codes | R702: SUPPORT- MANAGEMENT: DATA COLLECTION |
Recipient Details
| Recipient | LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH |
| UEI | DCYUNYGFTZ49 |
| Legacy DUNS | 061964896 |
| Recipient Address | UNITED STATES, 101 HOSPITAL RD, EAST PATCHOGUE, 117724870 |
Date of last update: 22 Dec 2024
Sources: New York Secretary of State
