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MARK TIEMAN, M.D., P.C.

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Company Details

Name: MARK TIEMAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jan 2000 (26 years ago)
Entity Number: 2459901
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 34 COPPERDALE LANE, HUNTINGTON, NY, United States, 11743
Principal Address: 34 COPPERDALE LN, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 34 COPPERDALE LANE, HUNTINGTON, NY, United States, 11743

Chief Executive Officer

Name Role Address
MARK TIEMAN MD Chief Executive Officer 34 COPPERDALE LN, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1821375940

Authorized Person:

Name:
DR. MARK DARYL TIEMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6315432785

Filings

Filing Number Date Filed Type Effective Date
140416002090 2014-04-16 BIENNIAL STATEMENT 2014-01-01
120203002049 2012-02-03 BIENNIAL STATEMENT 2012-01-01
100217002274 2010-02-17 BIENNIAL STATEMENT 2010-01-01
080222002156 2008-02-22 BIENNIAL STATEMENT 2008-01-01
060222002054 2006-02-22 BIENNIAL STATEMENT 2006-01-01

Trademarks Section

Serial Number:
90304977
Mark:
PRIMARY CARE PERSONALIZED
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-11-07
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
PRIMARY CARE PERSONALIZED

Goods And Services

For:
Primary care medical services
First Use:
2020-11-06
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
88807260
Mark:
PRIMARY CARE PERSONALIZED
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2020-02-23
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
PRIMARY CARE PERSONALIZED

Goods And Services

For:
Primary care medical services
First Use:
2020-11-06
International Classes:
044 - Primary Class
Class Status:
Active

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$44,222
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,222
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,597.58
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $44,222

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State