0001644796-15-000001.txt : 20150615 0001644796-15-000001.hdr.sgml : 20150615 20150612180042 ACCESSION NUMBER: 0001644796-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150615 DATE AS OF CHANGE: 20150612 EFFECTIVENESS DATE: 20150615 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Island Digestive Health Center, LLC CENTRAL INDEX KEY: 0001644796 IRS NUMBER: 452411095 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-241716 FILM NUMBER: 15929609 BUSINESS ADDRESS: STREET 1: 471 MONTAUK HIGHWAY CITY: WEST ISLIP STATE: NY ZIP: 11795 BUSINESS PHONE: 631-376-2260 MAIL ADDRESS: STREET 1: 471 MONTAUK HIGHWAY CITY: WEST ISLIP STATE: NY ZIP: 11795 D 1 primary_doc.xml X0707 D LIVE 0001644796 Island Digestive Health Center, LLC 471 MONTAUK HIGHWAY WEST ISLIP NY NEW YORK 11795 631-376-2260 NEW YORK IDHC, LLC None Limited Liability Company true 2011 Frank Principati 471 Montauk Highway West Islip NY NEW YORK 11795 Director Kourosh Adhami, M.D. 471 Montauk Highway West Islip NY NEW YORK 11795 Executive Officer Director James Kohlroser, D.O. 471 Montauk Highway West Islip NY NEW YORK 11795 Executive Officer Director Karen Sablyak 471 Montauk Highway West Islip NY NEW YORK 11795 Executive Officer Other Health Care Decline to Disclose 06b false 2011-12-05 false true false 0 740000 740000 0 false 5 0 0 0 false Island Digestive Health Center, LLC /s/ Karen Sablyak Karen Sablyak Treasurer 2015-06-09