| Name: | WANTAGH INTERNAL MEDICINE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 02 Feb 1995 (30 years ago) |
| Entity Number: | 1891251 |
| County: | Nassau |
| Place of Formation: | New York |
| Principal Address: | 2155 WANTAGH AVE., WANTAGH, NY, United States, 11793 |
| Principal Address ZIP Code: | 11793 |
| Address: | 55 CHERRY LANE SUITE 101, CARLE PLACE, NY, United States, 11514 |
| Address ZIP Code: | 11514 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| MITCHELL MUND, ESQ | DOS Process Agent | 55 CHERRY LANE SUITE 101, CARLE PLACE, NY, United States, 11514 |
| Name | Role | Address |
|---|---|---|
| ERIC R BARTH | Chief Executive Officer | 2155 WANTAGH AVE., WANTAGH, NY, United States, 11793 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2005-03-11 | 2021-02-02 | Address | 100-15 QUEENS BLVD, FOREST HILLS, NY, 11375, 2452, USA (Type of address: Service of Process) |
| 1999-02-22 | 2005-03-11 | Address | 567 BROADWAY, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process) |
| 1995-02-02 | 1999-02-22 | Address | 6800 JERICHO TURNPIKE, SYOSSET, NY, 11791, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 210202061445 | 2021-02-02 | BIENNIAL STATEMENT | 2021-02-01 |
| 190213060578 | 2019-02-13 | BIENNIAL STATEMENT | 2019-02-01 |
| 170215006364 | 2017-02-15 | BIENNIAL STATEMENT | 2017-02-01 |
| 150211006295 | 2015-02-11 | BIENNIAL STATEMENT | 2015-02-01 |
| 130306006954 | 2013-03-06 | BIENNIAL STATEMENT | 2013-02-01 |
| 110311002079 | 2011-03-11 | BIENNIAL STATEMENT | 2011-02-01 |
| 090204002768 | 2009-02-04 | BIENNIAL STATEMENT | 2009-02-01 |
| 070226002687 | 2007-02-26 | BIENNIAL STATEMENT | 2007-02-01 |
| 050311002286 | 2005-03-11 | BIENNIAL STATEMENT | 2005-02-01 |
| 030207002325 | 2003-02-07 | BIENNIAL STATEMENT | 2003-02-01 |
Date of last update: 13 Nov 2024
Sources: New York Secretary of State
