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NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, P.C.

NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, P.C.

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Company Details

Name:	NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	05 Sep 2000 (25 years ago)
Entity Number:	2549248
ZIP code:	13057
County:	Onondaga
Place of Formation:	New York
Address:	5824 WIDEWATERS PARKWAY, E. SYRACUSE, NY, United States, 13057
Principal Address:	5496 EAST TAFT ROAD, NORTH SYRACUSE, NY, United States, 13212

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
ROBERT L TISO MD	Chief Executive Officer	5496 EAST TAFT ROAD, NORTH SYRACUSE, NY, United States, 13212

DOS Process Agent

Name	Role	Address
NEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES, P.C.	DOS Process Agent	5824 WIDEWATERS PARKWAY, E. SYRACUSE, NY, United States, 13057

National Provider Identifier

NPI Number:

1487029815

Certification Date:

2021-01-07

Link:

View on NPI website

Authorized Person:

Name:

ROBERT L TISO

Role:

MD

Phone:

3152513105

Taxonomy:

Selected Taxonomy:

208VP0000X - Pain Medicine Physician

Is Primary:

No

Selected Taxonomy:

332B00000X - Durable Medical Equipment & Medical Supplies

Is Primary:

Yes

Contacts:

Phone:

+1 315-251-3105

Phone:

+1 315-552-6700

Form 5500 Series

Employer Identification Number (EIN):

161592210

Plan Year:

2013

Number Of Participants:

111

Sponsors Telephone Number:

3155526700

File:

Plan Year:

2012

Number Of Participants:

90

Sponsors Telephone Number:

3155526700

File:

Plan Year:

2012

Number Of Participants:

95

Sponsors Telephone Number:

3155526700

File:

Plan Year:

2011

Number Of Participants:

78

Sponsors Telephone Number:

3155526700

File:

Plan Year:

2011

Number Of Participants:

91

Sponsors Telephone Number:

3155526700

File:

History

Start date	End date	Type	Value
2014-11-21	2020-09-16	Address	5824 WIDEWATERS PARKWAY, E. SYRACUSE, NY, 13057, USA (Type of address: Service of Process)
2010-04-06	2014-11-21	Address	5496 EAST TAFT ROAD, NORTH SYRACUSE, NY, 13212, USA (Type of address: Service of Process)
2002-09-16	2010-03-23	Address	7209 BUCKLEY RD, STE 2R, LIVERPOOL, NY, 13088, USA (Type of address: Chief Executive Officer)
2002-09-16	2010-03-23	Address	7209 BUCKLEY RD, STE 2R, LIVERPOOL, NY, 13088, USA (Type of address: Principal Executive Office)
2002-09-16	2010-04-06	Address	7209 BUCKLEY RD, STE 2R, LIVERPOOL, NY, 13088, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
200916060369	2020-09-16	BIENNIAL STATEMENT	2020-09-01
180911006386	2018-09-11	BIENNIAL STATEMENT	2018-09-01
160902006521	2016-09-02	BIENNIAL STATEMENT	2016-09-01
141121006319	2014-11-21	BIENNIAL STATEMENT	2014-09-01
121003002158	2012-10-03	BIENNIAL STATEMENT	2012-09-01

Paycheck Protection Program

Jobs Reported:

119

Initial Approval Amount:

$1,466,500

Date Approved:

2020-04-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,466,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,484,017.64

Servicing Lender:

Tompkins Community Bank

Use of Proceeds:

Payroll: $1,466,500

Jobs Reported:

164

Initial Approval Amount:

$1,450,000

Date Approved:

2021-02-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,450,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,461,997.26

Servicing Lender:

Tompkins Community Bank

Use of Proceeds:

Payroll: $1,449,995
Utilities: $1

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State