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SHAKER PEDIATRICS, P.C.

SHAKER PEDIATRICS, P.C.

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Company Details

Name:	SHAKER PEDIATRICS, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	01 May 1973 (52 years ago)
Entity Number:	260198
ZIP code:	12110
County:	Albany
Place of Formation:	New York
Address:	10 CENTURY HILL DRIVE, LATHAM, NY, United States, 12110
Principal Address:	10 CENTURY HILL DR, LATHAM, NY, United States, 12110

Contact Details

Phone +1 518-783-5563

Shares Details

Shares issued 600

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
SHEELA GRANEY, MD	Chief Executive Officer	10 CENTURY HILL DR, LATHAM, NY, United States, 12110

DOS Process Agent

Name	Role	Address
SHAKER PEDIATRICS, P.C.	DOS Process Agent	10 CENTURY HILL DRIVE, LATHAM, NY, United States, 12110

National Provider Identifier

NPI Number:

1336156223

Link:

View on NPI website

Authorized Person:

Name:

DR. HENRY M NEILLEY

Role:

FIRST VICE PRESIDENT

Phone:

5187835563

Taxonomy:

Selected Taxonomy:

2080A0000X - Pediatric Adolescent Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 518-783-5563

Fax:

5187855708

Form 5500 Series

Employer Identification Number (EIN):

141551900

Plan Year:

2024

Number Of Participants:

23

Sponsors Telephone Number:

5187835563

File:

Plan Year:

2023

Number Of Participants:

25

Sponsors Telephone Number:

5187835563

File:

Plan Year:

2022

Number Of Participants:

22

Sponsors Telephone Number:

5187835563

File:

Plan Year:

2021

Number Of Participants:

27

Sponsors Telephone Number:

5187835563

File:

Plan Year:

2020

Number Of Participants:

21

Sponsors Telephone Number:

5187835563

File:

History

Start date	End date	Type	Value
2017-05-01	2021-05-03	Address	10 CENTURY HILL DR, LATHAM, NY, 12110, 2162, USA (Type of address: Chief Executive Officer)
1999-05-11	2021-05-03	Address	10 CENTURY HILL DR, LATHAM, NY, 12110, 2162, USA (Type of address: Service of Process)
1999-05-11	2017-05-01	Address	10 CENTURY HILL DR, LATHAM, NY, 12110, 2162, USA (Type of address: Chief Executive Officer)
1997-05-13	1999-05-11	Address	11 SUNSET DRIVE, LATHAM, NY, 12110, USA (Type of address: Service of Process)
1992-11-18	1999-05-11	Address	11 SUNSET DRIVE, LATHAM, NY, 12110, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
210503060649	2021-05-03	BIENNIAL STATEMENT	2021-05-01
190501060477	2019-05-01	BIENNIAL STATEMENT	2019-05-01
170501006003	2017-05-01	BIENNIAL STATEMENT	2017-05-01
150501006253	2015-05-01	BIENNIAL STATEMENT	2015-05-01
130517006087	2013-05-17	BIENNIAL STATEMENT	2013-05-01

Paycheck Protection Program

Jobs Reported:

22

Initial Approval Amount:

$194,700

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$194,700

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$195,824.93

Servicing Lender:

Broadview Federal Credit Union

Use of Proceeds:

Payroll: $156,400
Utilities: $3,700
Rent: $15,200
Healthcare: $19400

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State