| Name: | WITTAYA PAYACKAPAN, M.D., P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 03 Oct 1977 (47 years ago) |
| Entity Number: | 450209 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 365 BROADWAY, AMITYVILLE, NY, United States, 11701 |
| Address ZIP Code: | 11701 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 365 BROADWAY, AMITYVILLE, NY, United States, 11701 |
| Name | Role | Address |
|---|---|---|
| WITTAYA PAYACKAPAN MD | Chief Executive Officer | 365 BROADWAY, AMITYVILLE, NY, United States, 11701 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1993-10-29 | 2003-11-12 | Address | 365 BROADWAY, AMITYVILLE, NY, 11701, USA (Type of address: Chief Executive Officer) |
| 1993-10-29 | 2003-11-12 | Address | 365 BROADWAY, AMITYVILLE, NY, 11701, USA (Type of address: Principal Executive Office) |
| 1993-10-29 | 2003-11-12 | Address | 365 BROADWAY, AMITYVILLE, NY, 11701, USA (Type of address: Service of Process) |
| 1977-10-03 | 2023-06-06 | Shares | Share type: NO PAR VALUE, Number of shares: 200, Par value: 0 |
| 1977-10-03 | 1993-10-29 | Address | 365 BROADWAY, AMITYVILLE, NY, 11701, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 20141201044 | 2014-12-01 | ASSUMED NAME LLC INITIAL FILING | 2014-12-01 |
| 111108002143 | 2011-11-08 | BIENNIAL STATEMENT | 2011-10-01 |
| 091211002676 | 2009-12-11 | BIENNIAL STATEMENT | 2009-10-01 |
| 080125002290 | 2008-01-25 | BIENNIAL STATEMENT | 2007-10-01 |
| 051208002888 | 2005-12-08 | BIENNIAL STATEMENT | 2005-10-01 |
| 031112002222 | 2003-11-12 | BIENNIAL STATEMENT | 2003-10-01 |
| 011108002334 | 2001-11-08 | BIENNIAL STATEMENT | 2001-10-01 |
| 991021002169 | 1999-10-21 | BIENNIAL STATEMENT | 1999-10-01 |
| 971103002421 | 1997-11-03 | BIENNIAL STATEMENT | 1997-10-01 |
| 931029003111 | 1993-10-29 | BIENNIAL STATEMENT | 1993-10-01 |
Date of last update: 16 Nov 2024
Sources: New York Secretary of State
