| Name: | AMITYVILLE INTERNAL MEDICINE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 06 Jul 2001 (23 years ago) |
| Entity Number: | 2657722 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 49 IRELAND PL, AMITYVILLE, NY, United States, 11701 |
| Address ZIP Code: | 11701 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| RAYMOND JENSEN DO | DOS Process Agent | 49 IRELAND PL, AMITYVILLE, NY, United States, 11701 |
| Name | Role | Address |
|---|---|---|
| RAYMOND JENSEN DO | Chief Executive Officer | 49 IRELAND PL, AMITYVILLE, NY, United States, 11701 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2001-07-06 | 2003-06-25 | Address | 49 IRELAND PLACE, AMITYVILLE, NY, 11701, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 070907002176 | 2007-09-07 | BIENNIAL STATEMENT | 2007-07-01 |
| 051003002741 | 2005-10-03 | BIENNIAL STATEMENT | 2005-07-01 |
| 030625002322 | 2003-06-25 | BIENNIAL STATEMENT | 2003-07-01 |
| 010706000296 | 2001-07-06 | CERTIFICATE OF INCORPORATION | 2001-07-06 |
Date of last update: 11 Nov 2024
Sources: New York Secretary of State
