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MONROE AREA MEDICAL ASSOCIATES, P.C.

MONROE AREA MEDICAL ASSOCIATES, P.C.

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Company Details

Name:	MONROE AREA MEDICAL ASSOCIATES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Inactive
Date of registration:	11 Jan 1984 (41 years ago)
Date of dissolution:	20 Apr 2011
Entity Number:	887049
ZIP code:	10924
County:	Orange
Place of Formation:	New York
Address:	70 HATFIELD LN / SUITE 204, GOSHEN, NY, United States, 10924

Shares Details

Shares issued 600

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	70 HATFIELD LN / SUITE 204, GOSHEN, NY, United States, 10924

Chief Executive Officer

Name	Role	Address
LANCE M. SIEGEL, MD	Chief Executive Officer	70 HATFIELD LN / SUITE 204, GOSHEN, NY, United States, 10924

National Provider Identifier

NPI Number:

1598774978

Link:

View on NPI website

Authorized Person:

Name:

DR. DAVID ELLIS

Role:

VICE PRESIDENT

Phone:

8452911260

Taxonomy:

Selected Taxonomy:

207RG0100X - Gastroenterology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 845-291-1260

Fax:

8452942312

Form 5500 Series

Employer Identification Number (EIN):

061091571

Plan Year:

2009

Number Of Participants:

Sponsors Telephone Number:

8452948975

File:

View File

History

Start date	End date	Type	Value
2004-02-19	2006-02-17	Address	807 ROUTE 17M SUITE 2, MONROE, NY, 10950, 2625, USA (Type of address: Principal Executive Office)
2004-02-19	2006-02-17	Address	807 ROUTE 17M SUITE 2, MONROE, NY, 10950, 2625, USA (Type of address: Service of Process)
2004-02-19	2006-02-17	Address	807 ROUTE 17M SUITE 2, MONROE, NY, 10950, 2625, USA (Type of address: Chief Executive Officer)
2002-04-23	2004-02-19	Address	845 ROUTE 17M, MONROE, NY, 10950, USA (Type of address: Service of Process)
2002-01-04	2004-02-19	Address	845 ROUTE 17M / SUITE 205, MONROE, NY, 10950, 1606, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
110420000829	2011-04-20	CERTIFICATE OF DISSOLUTION	2011-04-20
060217002127	2006-02-17	BIENNIAL STATEMENT	2006-01-01
040219002350	2004-02-19	BIENNIAL STATEMENT	2004-01-01
020423000438	2002-04-23	CERTIFICATE OF AMENDMENT	2002-04-23
020104002700	2002-01-04	BIENNIAL STATEMENT	2002-01-01

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State