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VINCENT P. BASILICE, M.D., P.C.

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Company Details

Name: VINCENT P. BASILICE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Jul 1981 (44 years ago)
Entity Number: 711996
ZIP code: 11733
County: Suffolk
Place of Formation: New York
Address: 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, United States, 11733

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
VINCENT P BASILICE, MD DOS Process Agent 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, United States, 11733

Chief Executive Officer

Name Role Address
VINCENT P BASILICE, MD Chief Executive Officer 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, United States, 11733

National Provider Identifier

NPI Number:
1679588164
Certification Date:
2020-10-07

Authorized Person:

Name:
VINCENT PRESCOTT BASILICE
Role:
MEDICAL DIRECTOR/ PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
No
Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
6317510048

History

Start date End date Type Value
2023-07-06 2023-07-06 Address 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, 11733, USA (Type of address: Chief Executive Officer)
2022-06-23 2023-07-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2000-08-03 2023-07-06 Address 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, 11733, USA (Type of address: Chief Executive Officer)
2000-08-03 2023-07-06 Address 3400 NESCONSET HIGHWAY, SUITE 107, EAST SETAUKET, NY, 11733, USA (Type of address: Service of Process)
1981-07-20 2022-06-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230706003282 2023-07-06 BIENNIAL STATEMENT 2023-07-01
210813001688 2021-08-13 BIENNIAL STATEMENT 2021-08-13
190708060154 2019-07-08 BIENNIAL STATEMENT 2019-07-01
170706006645 2017-07-06 BIENNIAL STATEMENT 2017-07-01
150701006674 2015-07-01 BIENNIAL STATEMENT 2015-07-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State