Entity Number 3559321
Status Active
NameMID-SUFFOLK MEDICAL CARE, P.C.
CountySuffolk
Date of registration 22 Aug 2007 (17 years ago) 22 Aug 2007
Legal typeDOMESTIC PROFESSIONAL SERVICE CORPORATION
Place of FormationNew York
Principal Address 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725
Principal Address ZIP code 11725
Address 10 NICOLA LANE, NESCONSET, NY, United States, 11767
Address ZIP code 11767
Contact Details
Phone +1 631-462-6644
Phone +1 631-467-3621
Phone +1 631-361-3363
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2023
260797131
2024-04-18
MID-SUFFOLK MEDICAL CARE P.C.
18
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2024-04-18 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2022
260797131
2023-09-07
MID-SUFFOLK MEDICAL CARE P.C.
16
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-07 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2021
260797131
2022-09-28
MID-SUFFOLK MEDICAL CARE P.C.
19
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-28 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2020
260797131
2021-10-05
MID-SUFFOLK MEDICAL CARE P.C.
21
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2019
260797131
2021-06-17
MID-SUFFOLK MEDICAL CARE P.C.
21
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-17 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2018
260797131
2019-10-11
MID-SUFFOLK MEDICAL CARE P.C.
20
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-10 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2017
260797131
2018-10-12
MID-SUFFOLK MEDICAL CARE P.C.
19
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-11 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2016
260797131
2017-10-13
MID-SUFFOLK MEDICAL CARE P.C.
16
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2017-10-13 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2015
260797131
2016-10-11
MID-SUFFOLK MEDICAL CARE P.C.
20
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2016-10-11 |
| Name of individual signing | KELLY ROXBY |
MID-SUFFOLK MEDICAL CARE P.C. 401(K) PROFIT SHARING PLAN
2014
260797131
2015-06-18
MID-SUFFOLK MEDICAL CARE P.C.
16
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6314626644 |
| Plan sponsor’s address | 6277 JERICHO TURNPIKE, COMMACK, NY, 11725 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-12 |
| Name of individual signing | KELLY ROXBY |
MOHAMMED R. AZAZ
DOS Process Agent
10 NICOLA LANE, NESCONSET, NY, United States, 11767
MOHAMMED R. AZAZ
Chief Executive Officer
10 NICOLA LANE, NESCONSET, NY, United States, 11767
2009-09-16
2019-06-06
Address
10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Chief Executive Officer)
2009-09-16
2019-06-06
Address
10 NICOLA LN, NESCONSET, NY, 11767, USA (Type of address: Principal Executive Office)
2009-09-16
2019-06-06
Address
6277 JERICHO TURNPIKE, COMMACK, NY, 11725, USA (Type of address: Service of Process)
2007-08-22
2009-09-16
Address
10 NICOLA LANE, NESCONSET, NY, 11767, USA (Type of address: Service of Process)
190606002022
2019-06-06
BIENNIAL STATEMENT
2017-08-01
110826002296
2011-08-26
BIENNIAL STATEMENT
2011-08-01
090916002372
2009-09-16
BIENNIAL STATEMENT
2009-08-01
070822000629
2007-08-22
CERTIFICATE OF INCORPORATION
2007-08-22
Date of last update: 31 Jul 2024
Sources: Companies info , Historical Data , Complaints , Contacts
