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STATEN ISLAND AUDIOLOGICAL SERVICES, P.C.

STATEN ISLAND AUDIOLOGICAL SERVICES, P.C.

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Company Details

Name:	STATEN ISLAND AUDIOLOGICAL SERVICES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	01 Sep 2000 (25 years ago)
Entity Number:	2548560
ZIP code:	10310
County:	Richmond
Place of Formation:	New York
Address:	1173 FOREST AVENUE, STATEN ISLAND, NY, United States, 10310

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
MARY GOODACRE	Chief Executive Officer	1173 FOREST AVENUE, STATEN ISLAND, NY, United States, 10310

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	1173 FOREST AVENUE, STATEN ISLAND, NY, United States, 10310

National Provider Identifier

NPI Number:

1922380971

Link:

View on NPI website

Authorized Person:

Name:

DR. MARY E GOODACRE

Role:

PRESIDENT

Phone:

7189816020

Taxonomy:

Selected Taxonomy:

231H00000X - Audiologist

Is Primary:

Yes

Contacts:

Phone:

+1 718-981-6020

Fax:

7188768370

History

Start date	End date	Type	Value
2006-09-05	2010-09-28	Address	11 RALPH PLACE, STATEN ISLAND, NY, 10304, USA (Type of address: Chief Executive Officer)
2006-09-05	2010-09-28	Address	11 RALPH PLACE / #308, STATEN ISLAND, NY, 10304, USA (Type of address: Principal Executive Office)
2006-09-05	2010-09-28	Address	11 RALPH PLACE, STATEN ISLAND, NY, 10304, USA (Type of address: Service of Process)
2002-11-21	2006-09-05	Address	98 GALLOWAY AVE, STATEN ISLAND, NY, 10302, USA (Type of address: Chief Executive Officer)
2002-11-21	2006-09-05	Address	11 RALPH PL, #308, STATEN ISLAND, NY, 10304, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
100928002353	2010-09-28	BIENNIAL STATEMENT	2010-09-01
080904002798	2008-09-04	BIENNIAL STATEMENT	2008-09-01
060905002179	2006-09-05	BIENNIAL STATEMENT	2006-09-01
041018002551	2004-10-18	BIENNIAL STATEMENT	2004-09-01
021121002824	2002-11-21	BIENNIAL STATEMENT	2002-09-01

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$43,278.55

Date Approved:

2020-04-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$43,278.55

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$43,945.76

Servicing Lender:

The Bank of Princeton

Use of Proceeds:

Payroll: $43,278.55