| Name: | LAKE GROVE PEDIATRICS P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 24 Feb 2011 (14 years ago) |
| Entity Number: | 4059523 |
| ZIP code: | 11755 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 2233 Nesconset Hwy, suite 207, Lake Grove, NY, United States, 11755 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| AMY GOLDBERG, MD | DOS Process Agent | 2233 Nesconset Hwy, suite 207, Lake Grove, NY, United States, 11755 |
| Name | Role | Address |
|---|---|---|
| AMY GOLDBERG, MD | Chief Executive Officer | 2233 NESCONSET HWY, SUITE 207, LAKE GROVE, NY, United States, 11755 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220509001809 | 2022-05-09 | BIENNIAL STATEMENT | 2021-02-01 |
| 110224000544 | 2011-02-24 | CERTIFICATE OF INCORPORATION | 2011-02-24 |
Date of last update: 25 Nov 2024
Sources: New York Secretary of State
