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SHORE ROAD CARDIOLOGY ASSOCIATES, P.C.

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Company Details

Name: SHORE ROAD CARDIOLOGY ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 26 Jan 1984 (41 years ago)
Date of dissolution: 31 Dec 2009
Entity Number: 890346
ZIP code: 11220
County: Kings
Place of Formation: New York
Principal Address: 150 55TH STREET, BROOKLYN, NY, United States, 11220
Address: 150 55TH ST., BROOKLYN, NY, United States, 11220

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 150 55TH ST., BROOKLYN, NY, United States, 11220

Chief Executive Officer

Name Role Address
ANTOINE FERNAINE Chief Executive Officer 150 55TH STREET, BROOKLYN, NY, United States, 11220

National Provider Identifier

NPI Number:
1790791457

Authorized Person:

Name:
MR. GARY DELLACERRA
Role:
VP MANAGED CARE & REVENUE COMPLIANC
Phone:

Taxonomy:

Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
7186307437
Fax:
7186308515

History

Start date End date Type Value
1984-01-26 2000-02-14 Address 150 55TH ST., BROOKLYN, NY, 11220, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
091202000250 2009-12-02 CERTIFICATE OF MERGER 2009-12-31
041222000461 2004-12-22 CERTIFICATE OF AMENDMENT 2004-12-22
040506002553 2004-05-06 BIENNIAL STATEMENT 2004-01-01
000214002053 2000-02-14 BIENNIAL STATEMENT 2000-01-01
B062435-6 1984-01-26 CERTIFICATE OF INCORPORATION 1984-01-26

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State