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MICHAEL W. MENDELSON, M.D., P.C.

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Company Details

Name: MICHAEL W. MENDELSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Sep 1992 (33 years ago)
Entity Number: 1663344
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 5360 NESCONSET HIGHWAY, PORT JEFFERSON STAT., NY, United States, 11776
Principal Address: 5360 NESCONSET HWY, PT JEFFERSON STATION, NY, United States, 11776

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MICHAEL W MENDELSON MD Chief Executive Officer 5360 NESCONSET HWY, PT JEFFERSON STATION, NY, United States, 11776

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5360 NESCONSET HIGHWAY, PORT JEFFERSON STAT., NY, United States, 11776

National Provider Identifier

NPI Number:
1023318292
Certification Date:
2021-05-24

Authorized Person:

Name:
DR. MICHAEL W MENDELSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6313313694

Filings

Filing Number Date Filed Type Effective Date
130103002124 2013-01-03 BIENNIAL STATEMENT 2012-09-01
101014003094 2010-10-14 BIENNIAL STATEMENT 2010-09-01
060919002615 2006-09-19 BIENNIAL STATEMENT 2006-09-01
041105002742 2004-11-05 BIENNIAL STATEMENT 2004-09-01
020911002144 2002-09-11 BIENNIAL STATEMENT 2002-09-01

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
26588.00
Total Face Value Of Loan:
26588.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
26588
Current Approval Amount:
26588
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
26892.49

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State