SOUTH ISLAND PEDIATRICS, P.C.

Company Details

Name:	SOUTH ISLAND PEDIATRICS, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	10 Mar 1993 (32 years ago)
Entity Number:	1709206
ZIP code:	11516
County:	Nassau
Place of Formation:	New York
Address:	86 CARMAN AVE, CEDARHURST, NY, United States, 11516
Principal Address:	860 PARK LANE, N. WOODMERE, NY, United States, 11581

Contact Details

Phone +1 516-569-0500

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
MITCHELL I. WEILER, MD	DOS Process Agent	86 CARMAN AVE, CEDARHURST, NY, United States, 11516

Name	Role	Address
MITCHELL I. WEILER, MD	Chief Executive Officer	86 CARMAN AVE, CEDARHURST, NY, United States, 11516

Start date	End date	Type	Value
2001-04-09	2005-05-26	Address	945 BROADWAY, WOODMERE, NY, 11581, USA (Type of address: Chief Executive Officer)
2001-04-09	2005-05-26	Address	945 BROADWAY, WOODMERE, NY, 11598, USA (Type of address: Service of Process)
1994-04-14	2001-04-09	Address	860 PARK LANE, NORTH WOODMERE, NY, 11581, USA (Type of address: Chief Executive Officer)
1994-04-14	2001-04-09	Address	860 PARK LANE, NORTH WOODMERE, NY, 11581, USA (Type of address: Principal Executive Office)
1994-04-14	2001-04-09	Address	860 PARK LANE, NORTH WOODMERE, NY, 11581, USA (Type of address: Service of Process)
1993-03-10	1994-04-14	Address	860 PARK LANE, NORTH WOODMERE, NY, 11581, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
170301006724	2017-03-01	BIENNIAL STATEMENT	2017-03-01
150302006532	2015-03-02	BIENNIAL STATEMENT	2015-03-01
130322006042	2013-03-22	BIENNIAL STATEMENT	2013-03-01
110609002390	2011-06-09	BIENNIAL STATEMENT	2011-03-01
090416002261	2009-04-16	BIENNIAL STATEMENT	2009-03-01
070420002698	2007-04-20	BIENNIAL STATEMENT	2007-03-01
050526002001	2005-05-26	BIENNIAL STATEMENT	2005-03-01
030320002625	2003-03-20	BIENNIAL STATEMENT	2003-03-01
010409002279	2001-04-09	BIENNIAL STATEMENT	2001-03-01
990401002230	1999-04-01	BIENNIAL STATEMENT	1999-03-01
970502002431	1997-05-02	BIENNIAL STATEMENT	1997-03-01
951128002316	1995-11-28	BIENNIAL STATEMENT	1995-03-01
940414002719	1994-04-14	BIENNIAL STATEMENT	1994-03-01
930310000293	1993-03-10	CERTIFICATE OF INCORPORATION	1993-03-10

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

2197508403

2021-02-03

0235

PPS

86 Carman Ave, Cedarhurst, NY, 11516-1905

Loan Status Date	2021-02-25
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	31850
Loan Approval Amount (current)	31850
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	188567
Servicing Lender Name	Loan Source Incorporated
Servicing Lender Address	353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Cedarhurst, NASSAU, NY, 11516-1905
Project Congressional District	NY-04
Number of Employees	4
NAICS code	621112
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	29599
Originating Lender Name	Northeast Bank
Originating Lender Address	LEWISTON, ME
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	32239.18
Forgiveness Paid Date	2022-05-05

6867087105

2020-04-14

0235

PPP

86 Carman Avenue, CEDARHURST, NY, 11516-0001

Loan Status Date	2021-11-20
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	23975
Loan Approval Amount (current)	23975
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	46104
Servicing Lender Name	Dime Community Bank
Servicing Lender Address	2200 Montauk Hwy, BRIDGEHAMPTON, NY, 11932
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	CEDARHURST, NASSAU, NY, 11516-0001
Project Congressional District	NY-04
Number of Employees	3
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	49693
Originating Lender Name	Dime Community Bank
Originating Lender Address	NEW YORK CITY, NY
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	24271.36
Forgiveness Paid Date	2021-07-14

Date of last update: 15 Mar 2025