Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Nassau
    4. ›
  4. 11576
    5. ›
  5. MARYAM BROUKHIM, M.D., P.C.

MARYAM BROUKHIM, M.D., P.C.

Company Details

Name: MARYAM BROUKHIM, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jul 2007 (17 years ago)
Entity Number: 3550137
ZIP code: 11576
County: Nassau
Place of Formation: New York
Address: 70 GLENWOOD ROAD, ROSLYN, NY, United States, 11576
Principal Address: 900 NORTHERN BLVD, SUITE 250, GREAT NECK, NY, United States, 11021

Contact Details

Phone +1 516-487-3783

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2019 260752180 2020-09-14 MARYAM BROUKHIM, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2020-09-14
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2018 260752180 2019-09-17 MARYAM BROUKHIM, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2019-09-17
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2017 260752180 2018-10-09 MARYAM BROUKHIM, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2016 260752180 2017-10-04 MARYAM BROUKHIM, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2017-10-04
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2015 260752180 2016-10-07 MARYAM BROUKHIM, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2014 260752180 2015-10-05 MARYAM BROUKHIM, M.D., P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2013 260752180 2014-05-29 MARYAM BROUKHIM, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2014-05-29
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2012 260752180 2013-10-07 MARYAM BROUKHIM, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2011 260752180 2012-10-05 MARYAM BROUKHIM, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing MARYAM BROUKHIM
MARYAM BROUKHIM, M.D., P.C. 401K PROFIT SHARING PLAN 2010 260752180 2011-10-06 MARYAM BROUKHIM, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 5166216642
Plan sponsor’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576

Plan administrator’s name and address
Administrator’s EIN 260752180
Plan administrator’s name MARYAM BROUKHIM, M.D., P.C.
Plan administrator’s address 70 GLENWOOD ROAD, ROSLYN HARBOR, NY, 11576
Administrator’s telephone number 5166216642

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing MARYAM BROUKHIM

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 70 GLENWOOD ROAD, ROSLYN, NY, United States, 11576

Chief Executive Officer

Name Role Address
MARYAM BROUKHIM Chief Executive Officer 70 GLENWOOD RD, ROSLYN HARBOR, NY, United States, 11576

Filings

Filing Number Date Filed Type Effective Date
130708007342 2013-07-08 BIENNIAL STATEMENT 2013-07-01
090724003147 2009-07-24 BIENNIAL STATEMENT 2009-07-01
070731000822 2007-07-31 CERTIFICATE OF INCORPORATION 2007-07-31

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. INRACKS, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC.

MARYAM BROUKHIM

9B 100 53RD ST LLC

Related by address

No related companies by address

Date of last update: 27 Nov 2024

Sources: New York Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 nycompanysearch.com, Part of Big Data Integrated