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BRYAN G. FORLEY, M.D., P.C.

BRYAN G. FORLEY, M.D., P.C.

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Company Details

Name:	BRYAN G. FORLEY, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	27 Jun 1997 (28 years ago)
Entity Number:	2157651
ZIP code:	11030
County:	New York
Place of Formation:	New York
Principal Address:	5 EAST 82ND ST, NEW YORK, NY, United States, 10028
Address:	& NEWMAN P.C., 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
BRYAN G FORLEY MD	Chief Executive Officer	5 EAST 82ND ST, NEW YORK, NY, United States, 10028

DOS Process Agent

Name	Role	Address
DAVID S. LESTER, ESQ., COOPERMAN LEVITT WINIKOFF LESTER	DOS Process Agent	& NEWMAN P.C., 1129 NORTHERN BOULEVARD, MANHASSET, NY, United States, 11030

National Provider Identifier

NPI Number:

1104994540

Link:

View on NPI website

Authorized Person:

Name:

DR. BRYAN G. FORLEY

Role:

PRESIDENT

Phone:

2128613757

Taxonomy:

Selected Taxonomy:

208200000X - Plastic Surgery Physician

Is Primary:

Yes

Contacts:

Phone:

+1 212-861-3757

Fax:

2128615033

Form 5500 Series

Employer Identification Number (EIN):

133959145

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

2128613757

File:

Plan Year:

2022

Number Of Participants:

4

Sponsors Telephone Number:

2128613757

File:

Plan Year:

2021

Number Of Participants:

4

Sponsors Telephone Number:

2128613757

File:

Plan Year:

2020

Number Of Participants:

3

Sponsors Telephone Number:

2128613757

Plan Year:

2019

Number Of Participants:

3

Sponsors Telephone Number:

2128613757

File:

Filings

Filing Number	Date Filed	Type	Effective Date
190603061373	2019-06-03	BIENNIAL STATEMENT	2019-06-01
170605006508	2017-06-05	BIENNIAL STATEMENT	2017-06-01
150602006710	2015-06-02	BIENNIAL STATEMENT	2015-06-01
130705006487	2013-07-05	BIENNIAL STATEMENT	2013-06-01
090602002286	2009-06-02	BIENNIAL STATEMENT	2009-06-01

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

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:

78100.00

Total Face Value Of Loan:

78100.00

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$78,100

Date Approved:

2021-03-24

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,100

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$79,071.91

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $78,097
Utilities: $1

Jobs Reported:

4

Initial Approval Amount:

$78,100

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$78,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$79,050.22

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $78,100

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State