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UNIVERSITY AT BUFFALO NEUROSURGERY, INC.

Company Details

Name: UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 21 May 2002 (22 years ago)
Entity Number: 2769637
County: Erie
Place of Formation: New York
Address: 3 GATES CIRCLE, BUFFALO, NY, United States, 14209
Address ZIP Code: 14209

Contact Details

Phone +1 716-568-3600

Phone +1 716-839-9402

Phone +1 716-218-1040

Phone +1 716-862-1000

Phone +1 716-891-2400

Phone +1 716-447-6100

Phone +1 716-278-4000

Phone +1 716-694-4500

Phone +1 716-898-3000

Phone +1 716-218-1000

Phone +1 716-323-2000

Phone +1 716-297-4800

Phone +1 716-826-7000

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DNFSL1HE94G3 2024-08-09 40 GEORGE KARL BLVD, STE 200, BUFFALO, NY, 14221, 7183, USA 40 GEORGE KARL BLVD, STE 200, BUFFALO, NY, 14221, 7183, USA

Business Information
Congressional District 26
State/Country of Incorporation NY, USA
Activation Date 2023-08-16
Initial Registration Date 2007-08-27
Entity Start Date 2002-05-21
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111, 621310
Product and Service Codes Q523

Points of Contacts
Electronic Business
Title PRIMARY POC
Name ALICIA HANNONC
Role BILLING MANAGER
Address 40 GEORGE KARL BLVD, BUFFALO, NY, 14221, USA
Title ALTERNATE POC
Name KEVIN GIBBONS
Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA
Government Business
Title PRIMARY POC
Name STACEY SCHUECKLER
Role BILLING MANAGER
Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA
Title ALTERNATE POC
Name KEVIN GIBBONS
Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA
Past Performance
Title PRIMARY POC
Name MARY ANN KEDRON
Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA
Title ALTERNATE POC
Name KEVIN GIBBONS
Address 3 GATES CIRCLE, BUFFALO, NY, 14209, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY AT BUFFALO NEUROSURGERY, INC. RETIREMENT PLAN 2013 030445678 2014-05-27 UNIVERSITY AT BUFFALO NEUROSURGERY, INC. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-07-01
Business code 621111
Sponsor’s telephone number 7168875200
Plan sponsor’s address 3980 SHERIDAN DRIVE, SUITE 501, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing ELAD LEVY
Role Employer/plan sponsor
Date 2014-05-27
Name of individual signing ELAD LEVY
UNIVERSITY AT BUFFALO NEUROSURGERY, INC. RETIREMENT PLAN 2012 030445678 2013-07-30 UNIVERSITY AT BUFFALO NEUROSURGERY, INC. 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-07-01
Business code 621111
Sponsor’s telephone number 7168875200
Plan sponsor’s address 3980 SHERIDAN DRIVE, SUITE 501, AMHERST, NY, 14226

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing LEO N HOPKINS
UNIVERSITY AT BUFFALO NEUROSURGERY, INC. RETIREMENT PLAN 2011 030445678 2012-07-26 UNIVERSITY AT BUFFALO NEUROSURGERY, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-07-01
Business code 621111
Sponsor’s telephone number 7168875200
Plan sponsor’s address 3980 SHERIDAN DRIVE, SUITE 501, AMHERST, NY, 14226

Plan administrator’s name and address
Administrator’s EIN 030445678
Plan administrator’s name UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Plan administrator’s address 3980 SHERIDAN DRIVE, SUITE 501, AMHERST, NY, 14226
Administrator’s telephone number 7168875200

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing LEO N HOPKINS
UNIVERSITY AT BUFFALO NEUROSURGERY, INC. RETIREMENT PLAN 2010 030445678 2011-07-01 UNIVERSITY AT BUFFALO NEUROSURGERY, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-07-01
Business code 621111
Sponsor’s telephone number 7168875200
Plan sponsor’s address 3 GATES CIRCLE, BUFFALO, NY, 142091194

Plan administrator’s name and address
Administrator’s EIN 030445678
Plan administrator’s name UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Plan administrator’s address 3 GATES CIRCLE, BUFFALO, NY, 142091194
Administrator’s telephone number 7168875200

Signature of
Role Plan administrator
Date 2011-07-01
Name of individual signing LEO N HOPKINS
UNIVERSITY AT BUFFALO NEUROSURGERY, INC. RETIREMENT PLAN 2009 030445678 2010-10-08 UNIVERSITY AT BUFFALO NEUROSURGERY, INC. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-07-01
Business code 621111
Sponsor’s telephone number 7168875200
Plan sponsor’s address 3 GATES CIRCLE, BUFFALY, NY, 142091194

Plan administrator’s name and address
Administrator’s EIN 030445678
Plan administrator’s name UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Plan administrator’s address 3 GATES CIRCLE, BUFFALY, NY, 142091194
Administrator’s telephone number 7168875200

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing LEO N HOPKINS

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3 GATES CIRCLE, BUFFALO, NY, United States, 14209

Filings

Filing Number Date Filed Type Effective Date
020521000321 2002-05-21 CERTIFICATE OF INCORPORATION 2002-05-21

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD V528C80033 2007-10-01 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_V528C80033_3600_VA528P0222_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NEUROSURGERY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q510: NEUROLOGY SERVICES

Recipient Details
Recipient UNIVERSITY AT BUFFALO NEUROSURGERY, INC
UEI DNFSL1HE94G3
Legacy DUNS 794123195
Recipient Address UNITED STATES, 3 GATES CIR, BUFFALO, 142091120
DO AWARD V528C90421 2009-08-18 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_V528C90421_3600_VA528P0222_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title OFF SITE NEUROSURGERY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q510: NEUROLOGY SERVICES

Recipient Details
Recipient UNIVERSITY AT BUFFALO NEUROSURGERY, INC
UEI DNFSL1HE94G3
Legacy DUNS 794123195
Recipient Address UNITED STATES, 3 GATES CIR, BUFFALO, 142091120
DO AWARD V528C90144 2008-10-16 2009-03-31 2009-03-31
Unique Award Key CONT_AWD_V528C90144_3600_VA528P0222_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NEUROSURGERY SERVICES (OFF SITE)
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q510: NEUROLOGY SERVICES

Recipient Details
Recipient UNIVERSITY AT BUFFALO NEUROSURGERY, INC
UEI DNFSL1HE94G3
Legacy DUNS 794123195
Recipient Address UNITED STATES, 3 GATES CIR, BUFFALO, 142091120

Related by officers

THE CORPORATION

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Related by address

3 GATES CIRCLE, BUFFALO, NY, United States, 14209

MILLARD FILLMORE HOSPITALS EDWIN J. MANNING, M.D., P.C. WILLIAM R. KINKEL, M. D., P. C. UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC. ALLEN L. GOLDFARB, M.D., P.C. LAWRENCE H. GOLDEN, M.D., P.C. NEUROSURGERY, P.C. HANDOX ASSOCIATES, INC. DENT NEUROLOGIC GROUP, INC.

Date of last update: 11 Nov 2024

Sources: New York Secretary of State

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