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PHILIP B. BLANK, JR., D.O., P.C.

PHILIP B. BLANK, JR., D.O., P.C.

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Company Details

Name:	PHILIP B. BLANK, JR., D.O., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	28 Nov 1997 (28 years ago)
Entity Number:	2203195
ZIP code:	10570
County:	Westchester
Place of Formation:	New York
Address:	325 MANVILLE ROAD, PLEASANTVILLE, NY, United States, 10570

Contact Details

Phone +1 914-747-5600

Phone +1 914-245-8919

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	325 MANVILLE ROAD, PLEASANTVILLE, NY, United States, 10570

Chief Executive Officer

Name	Role	Address
PHILIP B. BLANK, JR.	Chief Executive Officer	325 MANVILLE RD., PLEASANTVILLE, NY, United States, 10570

National Provider Identifier

NPI Number:

1508123639

Link:

View on NPI website

Authorized Person:

Name:

DR. PHILIP B BLANK JR.

Role:

OWNER/PHYSICIAN

Phone:

9147475600

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 914-747-5600

Fax:

9147477085

Form 5500 Series

Employer Identification Number (EIN):

134035888

Plan Year:

2023

Number Of Participants:

2

Sponsors Telephone Number:

9147475600

File:

Plan Year:

2022

Number Of Participants:

2

Sponsors Telephone Number:

9147475600

File:

Plan Year:

2021

Number Of Participants:

2

Sponsors Telephone Number:

9147475600

File:

Plan Year:

2020

Number Of Participants:

2

Sponsors Telephone Number:

9147475600

File:

Plan Year:

2019

Number Of Participants:

3

Sponsors Telephone Number:

9147475600

File:

Filings

Filing Number	Date Filed	Type	Effective Date
111125002231	2011-11-25	BIENNIAL STATEMENT	2011-11-01
091127002378	2009-11-27	BIENNIAL STATEMENT	2009-11-01
071109002832	2007-11-09	BIENNIAL STATEMENT	2007-11-01
051230002179	2005-12-30	BIENNIAL STATEMENT	2005-11-01
031106002579	2003-11-06	BIENNIAL STATEMENT	2003-11-01

USAspending Awards / Financial Assistance

Date:

2020-04-14

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:

34300.00

Total Face Value Of Loan:

34300.00

Paycheck Protection Program

Jobs Reported:

2

Initial Approval Amount:

$34,300

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$34,300

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$34,562.01

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $34,300

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State