| Name: | LONG ISLAND PAIN/ANESTHESIA MANAGEMENT, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Inactive |
| Date of registration: | 26 Jun 1991 (33 years ago) |
| Date of dissolution: | 04 Oct 2005 |
| Entity Number: | 1557892 |
| ZIP code: | 11753 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 420 JERICHO TURNPIKE, SUITE 101, JERICHO, NY, United States, 11753 |
| Principal Address: | 5225-30 NESCONSET HIGHWAY, PT JEFFERSON STATION, NY, United States, 11776 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| JOSEPH T. PERZANO, CPA | DOS Process Agent | 420 JERICHO TURNPIKE, SUITE 101, JERICHO, NY, United States, 11753 |
| Name | Role | Address |
|---|---|---|
| FREDRIC J. MATLIN, M.D. | Chief Executive Officer | 5225-30 NESCONSET HIGHWAY, PT JEFFERSON STATION, NY, United States, 11776 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1999-07-07 | 2003-06-18 | Address | 75 N. COUNTRY ROAD, PORT JEFFERSON, NY, 11777, 2119, USA (Type of address: Principal Executive Office) |
| 1997-06-10 | 1999-07-07 | Address | 420 JERICHO TPKE., SUITE 228, JERICHO, NY, 11753, USA (Type of address: Service of Process) |
| 1993-09-01 | 1999-07-07 | Address | 5225-45 NESCONSET HIGHWAY, PT JEFFERSON STATION, NY, 11776, USA (Type of address: Principal Executive Office) |
| 1993-09-01 | 1997-06-10 | Address | 265 SUNRISE HIGHWAY, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Service of Process) |
| 1993-02-11 | 1999-07-07 | Address | 34 JEFFERSON LANDING CIRCLE, PORT JEFFERSON, NY, 11777, 1989, USA (Type of address: Chief Executive Officer) |
| 1993-02-11 | 1993-09-01 | Address | 2500 NESCONSET HIGHWAY, SUITE 4D, STONY BROOK, NY, 11790, USA (Type of address: Principal Executive Office) |
| 1993-02-11 | 1993-09-01 | Address | 265 SUNRISE HIGHWAY, ROCKVILLE CENTER, NY, 11570, USA (Type of address: Service of Process) |
| 1991-06-26 | 1993-02-11 | Address | 265 SUNRISE HIGHWAY, ROCKVILLE CENTRE, NY, 11570, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 051004000610 | 2005-10-04 | CERTIFICATE OF DISSOLUTION | 2005-10-04 |
| 030618002292 | 2003-06-18 | BIENNIAL STATEMENT | 2003-06-01 |
| 990707002232 | 1999-07-07 | BIENNIAL STATEMENT | 1999-06-01 |
| 970610002398 | 1997-06-10 | BIENNIAL STATEMENT | 1997-06-01 |
| 930901002712 | 1993-09-01 | BIENNIAL STATEMENT | 1993-06-01 |
| 930211003002 | 1993-02-11 | BIENNIAL STATEMENT | 1992-06-01 |
| 910626000196 | 1991-06-26 | CERTIFICATE OF INCORPORATION | 1991-06-26 |
Date of last update: 14 Nov 2024
Sources: New York Secretary of State
