| Name: | ACTIVE LIFE HEALTH OF NY, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 25 Aug 2011 (13 years ago) |
| Entity Number: | 4135234 |
| ZIP code: | 11787 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 300 EAST MAIN ST., SUITE 1, SMITHTOWN, NY, NY, United States, 11787 |
Contact Details
Phone +1 631-656-8796
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| JOHN J RUSH, MD | Chief Executive Officer | 300 EAST MAIN ST., SUITE 1, SMITHTOWN, NY, United States, 11787 |
| Name | Role | Address |
|---|---|---|
| JOHN J RUSH, MD | DOS Process Agent | 300 EAST MAIN ST., SUITE 1, SMITHTOWN, NY, NY, United States, 11787 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2017-08-17 | 2019-08-02 | Address | 363 ROUTE 111, STE 107B, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office) |
| 2017-08-17 | 2019-08-02 | Address | 363 ROUTE 111, STE 107B, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer) |
| 2017-08-17 | 2019-08-02 | Address | 363 ROUTE 111, STE 107B, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process) |
| 2013-08-13 | 2017-08-17 | Address | 363 ROUTE 111, STE 107, SMITHTOWN, NY, 11787, USA (Type of address: Chief Executive Officer) |
| 2013-08-13 | 2017-08-17 | Address | 363 ROUTE 111, STE 107, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process) |
| 2013-08-13 | 2017-08-17 | Address | 363 ROUTE 111, STE 107, SMITHTOWN, NY, 11787, USA (Type of address: Principal Executive Office) |
| 2011-08-25 | 2013-08-13 | Address | 363 ROUTE 111 SUITE 107, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 190802060745 | 2019-08-02 | BIENNIAL STATEMENT | 2019-08-01 |
| 170824000118 | 2017-08-24 | CERTIFICATE OF AMENDMENT | 2017-08-24 |
| 170817006039 | 2017-08-17 | BIENNIAL STATEMENT | 2017-08-01 |
| 130813002422 | 2013-08-13 | BIENNIAL STATEMENT | 2013-08-01 |
| 110825000943 | 2011-08-25 | CERTIFICATE OF INCORPORATION | 2011-08-25 |
Date of last update: 25 Nov 2024
Sources: New York Secretary of State
