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NORTH COAST INTERNAL MEDICINE, P.C.

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Company Details

Name: NORTH COAST INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 May 1997 (28 years ago)
Entity Number: 2145684
ZIP code: 11542
County: Nassau
Place of Formation: New York
Address: 4 MEDICAL PLAZA, GLEN COVE, NY, United States, 11542

Contact Details

Phone +1 516-676-1742

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 4 MEDICAL PLAZA, GLEN COVE, NY, United States, 11542

Chief Executive Officer

Name Role Address
CHARLES GAMBINO Chief Executive Officer 4 MEDICAL PLAZA, GLEN COVE, NY, United States, 11542

National Provider Identifier

NPI Number:
1164600987

Authorized Person:

Name:
DR. CHARLES A. GAMBINO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5166769662

Form 5500 Series

Employer Identification Number (EIN):
113409640
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
9
Sponsors Telephone Number:

History

Start date End date Type Value
1997-05-21 1999-09-07 Address 4 MEDICAL PLAZA, GLEN COVE, NY, 11542, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
010524002781 2001-05-24 BIENNIAL STATEMENT 2001-05-01
990907002131 1999-09-07 BIENNIAL STATEMENT 1999-05-01
970521000580 1997-05-21 CERTIFICATE OF INCORPORATION 1997-05-21

Paycheck Protection Program

Jobs Reported:
18
Initial Approval Amount:
$52,375
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,375
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$52,834.18
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $52,375

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State