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QUEENS NASSAU NEPHROLOGY SERVICES, PLLC

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Company Details

Name: QUEENS NASSAU NEPHROLOGY SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Dec 2001 (24 years ago)
Entity Number: 2707625
ZIP code: 11501
County: Nassau
Place of Formation: New York
Address: 300 OLD COUNTRY ROAD, SUITE 111, MINEOLA, NY, United States, 11501

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 300 OLD COUNTRY ROAD, SUITE 111, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1770988909

Authorized Person:

Name:
ANDRE GONCHARUCK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
5167451534

Form 5500 Series

Employer Identification Number (EIN):
113641500
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
2007-12-14 2012-03-27 Address 877 STEWART AVE, STE # 1, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
2001-12-11 2007-12-14 Address 877 STEWART AVENUE, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120327002267 2012-03-27 BIENNIAL STATEMENT 2011-12-01
100427001037 2010-04-27 CERTIFICATE OF CORRECTION 2010-04-27
091211002511 2009-12-11 BIENNIAL STATEMENT 2009-12-01
071214002120 2007-12-14 BIENNIAL STATEMENT 2007-12-01
031209002291 2003-12-09 BIENNIAL STATEMENT 2003-12-01

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
240500.00
Total Face Value Of Loan:
240500.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
240500
Current Approval Amount:
240500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
243426.08

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State