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DR. VINCENT EVANGELISTA, D.P.M., P.C.

DR. VINCENT EVANGELISTA, D.P.M., P.C.

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Company Details

Name:	DR. VINCENT EVANGELISTA, D.P.M., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	06 Aug 1992 (33 years ago)
Entity Number:	1656943
ZIP code:	11758
County:	Nassau
Place of Formation:	New York
Address:	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, United States, 11758

Contact Details

Phone +1 718-848-5700

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
DR. VINCENT EVANGELISTA, DPM	Chief Executive Officer	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, United States, 11758

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:

1841591955

Link:

View on NPI website

Authorized Person:

Name:

DR. VINCENT EVANGELISTA

Role:

PRESIDENT

Phone:

7188485700

Taxonomy:

Selected Taxonomy:

213EP1101X - Primary Podiatric Medicine Podiatrist

Is Primary:

Yes

Contacts:

Phone:

+1 718-848-5700

Fax:

7183230449

Form 5500 Series

Employer Identification Number (EIN):

113220352

Plan Year:

2019

Number Of Participants:

2

Sponsors Telephone Number:

7188485700

File:

Plan Year:

2018

Number Of Participants:

2

Sponsors Telephone Number:

7188485700

File:

Plan Year:

2017

Number Of Participants:

2

Sponsors Telephone Number:

7188485700

File:

Plan Year:

2016

Number Of Participants:

3

Sponsors Telephone Number:

7188485700

File:

Plan Year:

2015

Number Of Participants:

3

Sponsors Telephone Number:

7188485700

File:

History

Start date	End date	Type	Value
2002-11-05	2012-08-17	Address	194 NEW HAMPSHIRE AVE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
1998-08-13	2002-11-05	Address	194 NEW HAMPSHIRE AVE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
1994-07-14	2012-08-17	Address	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
1994-07-14	2012-08-17	Address	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office)
1992-08-06	1998-08-13	Address	194 NEW HAMPSHIRE AVENUE, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
120817002088	2012-08-17	BIENNIAL STATEMENT	2012-08-01
100824002513	2010-08-24	BIENNIAL STATEMENT	2010-08-01
080819002260	2008-08-19	BIENNIAL STATEMENT	2008-08-01
060807002687	2006-08-07	BIENNIAL STATEMENT	2006-08-01
041217002055	2004-12-17	BIENNIAL STATEMENT	2004-08-01

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$38,475

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$38,475

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$38,931.36

Servicing Lender:

WebBank

Use of Proceeds:

Payroll: $38,475

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State