On May 17, 2023 a
Party Statement
was filed
involving a dispute between
Hereford Insurance Company,
and
Angela Abramov-Plischtejew Np-Psych Mental Health,
Asm Diagnostic, Inc,
Atlantic Medical & Diagnostic, Pc,
Bhnm Tech Services Inc,
Bright Star Rehab Physical Therapy, Pc,
Bvh Diagnostics, Inc,
Comprehensive Diagnostics And Imaging, Pc,
Daechaun Karon Freeman-Alexander,
Episcopal Health Services, Inc
D B A St. John'S Episcopal Hospital,
Etzem Diagnostics Inc,
Global Tech Diagnostic Inc,
H. Levitan Medical, Pc,
Integrated Medical Rehabilitation Diagnostics, Pc,
Jarrett Canty,
Jordan Lee Canty,
Joseph Raia, Md, Pc,
Lang Equipment Inc,
Lij Medical Center
A K A Long Island Jewish Medical Center A K A Nslij Long Island Jewish,
Medical Mri, Pc,
Medline Plus Pharmacy Inc,
Midland Pharmacy Yonkers Corp,
Nimble Solution Inc,
North Shore-Lij Medical, Pc,
North Shore University Hospital,
Orthocor Supply Inc.,
Orthomotion Rehab Dme, Inc,
Ortho Sports Supply, Inc,
Park Chemists 4 Av Llc,
Pharmakon Pharmacy Inc
D B A Nottingham Pharmacy,
Pitch Medical Services Pc,
Pmk Acupuncture Pc,
Pulse Med Supply Corp,
Queens City Rehab Pt Pc,
Rashbi Diagnostic Imaging, Inc,
Red Medical Supply Inc.,
Right Choice Supply, Inc,
Shmuel Golfeyz Md,
Tri-Borough Ny Medical Practice P.C.
D B A Bronx Medical,
for Torts - Other (Declaratory Judgment)
in the District Court of New York County.
Preview
FILED: NEW YORK COUNTY CLERK 06/06/2023 02:37 PM INDEX NO. 154505/2023
NYSCEF DOC. NO. 31 RECEIVED NYSCEF: 06/06/2023
SUPREME COURT OF THE STATE OF N
EW YORK
COUNTY OF NEW YORK
Plaintiff / petitioner:
HEREFORD INSURANCE COMPANY. AFFIDAVIT OF SERVICE
Defendant / Respondent; Index No:
154505t2023
DAECHAUN KARON FREEMAN-ALEXANDER
JARRETT CANry
JORDAN LEE CANTy The ,,lndividual Defendants,, _and_ Date Filed:
ANGELA
AB RAM OV- P LISCHTEJ EW N P- PSYCH/ M 05/18t2023
E NTAL H EALTH ASM
DIAGNOST|C, tNC, et al
The undersigned being duly sworn' deposes
and says; deponent is not a party herein,
NEW yORK. That on Fri, May 26 2023 is over 1g years of age and resides
at 09:30 AM at 99 WASHTNGTON AVE; in the state of
or e IecrRorurc rrIrffi]ffiENDEb-SurvM;blrs ALBAN', NEW .ORK 1;nldeponent served
Frrro ...
the within NoTtCE
n Individual: by delivering a true copy of each
to be the person described
to said Defendant/Non-pafty Witness, personaily;
as said Defendant/Non-party witness
deponent krrew the persc,n so served
E Corporation/Business/Governm
true copy of each to
ent Agency:
therein.
a Def endant/Non-party Witness, therein
named, by delivering a
C.ervnn'.'*_ "::ltlljl]:".f1,"1L.:n.*
be the corporationrbusineG[wilT6lagenry
said corporation/businessrgou"rn*"nt
'rPvr dLtuil/uu:
described, and knew said individual to be
rg.;;,; ,;,u; ;;
fl .,. o;;;;il; thereol'.
:il:i,?[ fj::l;?I.ljl
dwelling of abode. i':::.:"jl:j:::l
Jij.l'":,"J:::
place or usual place a person Lr,riirOr.:".gJ;;;;#;;;
:r-":',": "'
sui,ab,e ,no ;;il:, business,
E lfl::,'r':r::::;?:'H;iJJff:::';'":1':1"^'l:^':::j:::"^:';,1.,1. p,ace or business, dweiling prace
or usuar prace or
1"u:,
with duedirigence to rind Derendanu'""-'.,-uii;::l::Jl#::ff'"?:;il'Jo1j:X'J;Jr1',l],.l,iJ:
iiilj;i."j,ili::,[T;;T:-
thereat, having called thereon; at
n Mailing: Deponent also enclosed a copy of
same, in a postpaid sealed wrapper properly
Partv witness's last known residence/Actuat ptace
addressed to said Defendant/No1_party
:lT::T:?::1d:nt5/):n of business, ,n.r .ra,a^c;+i^.
.,,.
""0:;,;;; " *;,',.**;",#[
under the excrusive
;il,:lTJ,ii: ii,i.i,"llil ::'",'tory
il,tjf:X i.]i,l,k,,
E secretary of state: PARK cHEMlsrs 4 AV LLc . o.t;Iiilon;p-arty
witness, therein named, by derivering two
toCo||eenBanahanffisaidSecretaryofStaiesoservedtobethesecretaryof5tatedescribed,andknew true copries of each
said'iEdiVlilEiT6-6E Do.ry!rprlElist thereof.
At the time of service a $40.00 fee was tendered.
fl Military service: r u't"ti.ffin ,ffi to whether Defendant/Non-parry wirness was in active mirirary
states orwithin the state in which they reside in any service of the united
capacity whateverand received a negative reply.
Defendant/Non-par"ty witness
wore ordinary civilian clothes and no military uniform. -
The source of my information and the ground
of my belief are the
conversations and obsenrations above narrated.
Upon information and belief I aver that the D-efendant/Non-party
the military service of the united states as that term witnes;s is not in
is defined in either the state or in the
Federal statutes.
Description:
Age: 30 Ethnicity: Caucasian Gender: Female Weight:
Height: 5'7" Hair: Brown 160
Eyes: Brown Relationship: Docurnent
Other Specialist
sworn to berore me on 6bt l,Sn
richard connolly - Ourjob #B7O7O74
Alliance Risk Group
MICHELLE M, TERRELL
NOTARY PUBLIC.STATE OF NEW YORK
No. 0lTE6240l 52
Quqlifled in Rensseloer. County
My commission Expires !JQ-587
+_-7-'
1 of 1
Preview
FILED: NEW YORK COUNTY CLERK 06/06/2023 02:37 PM INDEX NO. 154505/2023 NYSCEF DOC. NO. 31 RECEIVED NYSCEF: 06/06/2023 SUPREME COURT OF THE STATE OF N EW YORK COUNTY OF NEW YORK Plaintiff / petitioner: HEREFORD INSURANCE COMPANY. AFFIDAVIT OF SERVICE Defendant / Respondent; Index No: 154505t2023 DAECHAUN KARON FREEMAN-ALEXANDER JARRETT CANry JORDAN LEE CANTy The ,,lndividual Defendants,, _and_ Date Filed: ANGELA AB RAM OV- P LISCHTEJ EW N P- PSYCH/ M 05/18t2023 E NTAL H EALTH ASM DIAGNOST|C, tNC, et al The undersigned being duly sworn' deposes and says; deponent is not a party herein, NEW yORK. That on Fri, May 26 2023 is over 1g years of age and resides at 09:30 AM at 99 WASHTNGTON AVE; in the state of or e IecrRorurc rrIrffi]ffiENDEb-SurvM;blrs ALBAN', NEW .ORK 1;nldeponent served Frrro ... the within NoTtCE n Individual: by delivering a true copy of each to be the person described to said Defendant/Non-pafty Witness, personaily; as said Defendant/Non-party witness deponent krrew the persc,n so served E Corporation/Business/Governm true copy of each to ent Agency: therein. a Def endant/Non-party Witness, therein named, by delivering a C.ervnn'.'*_ "::ltlljl]:".f1,"1L.:n.* be the corporationrbusineG[wilT6lagenry said corporation/businessrgou"rn*"nt 'rPvr dLtuil/uu: described, and knew said individual to be rg.;;,; ,;,u; ;; fl .,. o;;;;il; thereol'. :il:i,?[ fj::l;?I.ljl dwelling of abode. i':::.:"jl:j:::l Jij.l'":,"J::: place or usual place a person Lr,riirOr.:".gJ;;;;#;;; :r-":',": "' sui,ab,e ,no ;;il:, business, E lfl::,'r':r::::;?:'H;iJJff:::';'":1':1"^'l:^':::j:::"^:';,1.,1. p,ace or business, dweiling prace or usuar prace or 1"u:, with duedirigence to rind Derendanu'""-'.,-uii;::l::Jl#::ff'"?:;il'Jo1j:X'J;Jr1',l],.l,iJ: iiilj;i."j,ili::,[T;;T:- thereat, having called thereon; at n Mailing: Deponent also enclosed a copy of same, in a postpaid sealed wrapper properly Partv witness's last known residence/Actuat ptace addressed to said Defendant/No1_party :lT::T:?::1d:nt5/):n of business, ,n.r .ra,a^c;+i^. .,,. ""0:;,;;; " *;,',.**;",#[ under the excrusive ;il,:lTJ,ii: ii,i.i,"llil ::'",'tory il,tjf:X i.]i,l,k,, E secretary of state: PARK cHEMlsrs 4 AV LLc . o.t;Iiilon;p-arty witness, therein named, by derivering two toCo||eenBanahanffisaidSecretaryofStaiesoservedtobethesecretaryof5tatedescribed,andknew true copries of each said'iEdiVlilEiT6-6E Do.ry!rprlElist thereof. At the time of service a $40.00 fee was tendered. fl Military service: r u't"ti.ffin ,ffi to whether Defendant/Non-parry wirness was in active mirirary states orwithin the state in which they reside in any service of the united capacity whateverand received a negative reply. Defendant/Non-par"ty witness wore ordinary civilian clothes and no military uniform. - The source of my information and the ground of my belief are the conversations and obsenrations above narrated. Upon information and belief I aver that the D-efendant/Non-party the military service of the united states as that term witnes;s is not in is defined in either the state or in the Federal statutes. Description: Age: 30 Ethnicity: Caucasian Gender: Female Weight: Height: 5'7" Hair: Brown 160 Eyes: Brown Relationship: Docurnent Other Specialist sworn to berore me on 6bt l,Sn richard connolly - Ourjob #B7O7O74 Alliance Risk Group MICHELLE M, TERRELL NOTARY PUBLIC.STATE OF NEW YORK No. 0lTE6240l 52 Quqlifled in Rensseloer. County My commission Expires !JQ-587 +_-7-' 1 of 1