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LONG ISLAND FAMILY MEDICAL, PLLC

Company Details

Name: LONG ISLAND FAMILY MEDICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Apr 2002 (23 years ago)
Entity Number: 2753552
ZIP code: 11730
County: Suffolk
Place of Formation: New York
Address: 8 LAUREL AVENUE, EAST ISLIP, NY, United States, 11730

Contact Details

Phone +1 631-422-4800

Phone +1 631-587-0600

Phone +1 631-224-4442

DOS Process Agent

Name Role Address
LONG ISLAND FAMILY MEDICAL, PLLC DOS Process Agent 8 LAUREL AVENUE, EAST ISLIP, NY, United States, 11730

National Provider Identifier

NPI Number:
1053461665

Authorized Person:

Name:
MRS. MARGARET M SIMAT
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
431957097
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:

History

Start date End date Type Value
2004-04-19 2014-06-26 Address 108 HIGBIE LANE, W ISLIP, NY, 11795, USA (Type of address: Service of Process)
2002-04-10 2004-04-19 Address 201 MORELAND ROAD, SUITE 3, HAUPPAUGE, NY, 11788, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
211006002782 2021-10-06 BIENNIAL STATEMENT 2021-10-06
140626006034 2014-06-26 BIENNIAL STATEMENT 2014-04-01
120615002348 2012-06-15 BIENNIAL STATEMENT 2012-04-01
100430002605 2010-04-30 BIENNIAL STATEMENT 2010-04-01
080331002693 2008-03-31 BIENNIAL STATEMENT 2008-04-01

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
106705.00
Total Face Value Of Loan:
106705.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
106705
Current Approval Amount:
106705
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
108267.04

Date of last update: 30 Mar 2025

Sources: New York Secretary of State