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ITHACA UROLOGY, PLLC

ITHACA UROLOGY, PLLC

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Company Details

Name:	ITHACA UROLOGY, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	14 Dec 2000 (25 years ago)
Entity Number:	2584119
ZIP code:	14850
County:	Tompkins
Place of Formation:	New York
Address:	1301 TRUMANSBURG ROAD, ITHACA, NY, United States, 14850

Contact Details

Phone +1 607-273-8502

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	1301 TRUMANSBURG ROAD, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:

1427009802

Link:

View on NPI website

Authorized Person:

Name:

DR. SAMI HUSSEINI

Role:

OWNER/PHYSICIAN

Phone:

6072738502

Taxonomy:

Selected Taxonomy:

208800000X - Urology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 607-277-3257

Fax:

6072774056

Phone:

+1 607-273-8502

Fax:

6072736115

Form 5500 Series

Employer Identification Number (EIN):

161597059

Plan Year:

2024

Number Of Participants:

14

Sponsors Telephone Number:

6072738502

File:

Plan Year:

2023

Number Of Participants:

14

Sponsors Telephone Number:

6072738502

File:

Plan Year:

2022

Number Of Participants:

15

Sponsors Telephone Number:

6072738502

File:

Plan Year:

2021

Number Of Participants:

14

Sponsors Telephone Number:

6072738502

File:

Plan Year:

2020

Number Of Participants:

14

Sponsors Telephone Number:

6072738502

File:

Filings

Filing Number	Date Filed	Type	Effective Date
150206002047	2015-02-06	BIENNIAL STATEMENT	2014-12-01
130211002354	2013-02-11	BIENNIAL STATEMENT	2012-12-01
110106002295	2011-01-06	BIENNIAL STATEMENT	2010-12-01
081125002674	2008-11-25	BIENNIAL STATEMENT	2008-12-01
061207002353	2006-12-07	BIENNIAL STATEMENT	2006-12-01

USAspending Awards / Financial Assistance

Date:

2020-04-11

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:

183800.00

Total Face Value Of Loan:

183800.00

Date:

2020-04-11

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:

183800.00

Total Face Value Of Loan:

183800.00

Paycheck Protection Program

Jobs Reported:

13

Initial Approval Amount:

$183,800

Date Approved:

2020-04-11

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$183,800

Race:

Black or African American

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$186,030.78

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $183,800

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State