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  5. LONG BEACH FAMILY MEDICINE, P.C.

LONG BEACH FAMILY MEDICINE, P.C.

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Company Details

Name: LONG BEACH FAMILY MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Aug 2002 (23 years ago)
Entity Number: 2803146
ZIP code: 11561
County: Nassau
Place of Formation: New York
Address: 10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

Contact Details

Phone +1 516-889-0100

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SERGEY KULIKOV Chief Executive Officer 10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 FRANKLIN BLVD / SUITE 102, LONG BEACH, NY, United States, 11561

National Provider Identifier

NPI Number:
1629299516
Link:
View on NPI website

Authorized Person:

Name:
SERGEY KULIKOV
Role:
PRES.
Phone:
5168890100

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 516-889-0100
Fax:
5168972425

History

Start date End date Type Value
2008-08-19 2010-08-24 Address 10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)
2008-08-19 2010-08-24 Address 10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
2008-08-19 2010-08-24 Address 10 FRANKLIN BLVD, STE 102, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
2006-08-15 2008-08-19 Address 10 FRANKLIN BLVD, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
2006-08-15 2008-08-19 Address 10 FRANKLIN BLVD, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
120806006009 2012-08-06 BIENNIAL STATEMENT 2012-08-01
100824002498 2010-08-24 BIENNIAL STATEMENT 2010-08-01
080819002824 2008-08-19 BIENNIAL STATEMENT 2008-08-01
060815002883 2006-08-15 BIENNIAL STATEMENT 2006-08-01
040927002754 2004-09-27 BIENNIAL STATEMENT 2004-08-01

USAspending Awards / Financial Assistance

Date:
2020-05-04
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:
44275.00
Total Face Value Of Loan:
44275.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$44,275
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,275
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,814.91
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $44,275
Jobs Reported:
4
Initial Approval Amount:
$44,745
Date Approved:
2021-02-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,745
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$45,053.24
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $44,743
Utilities: $1

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THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC. 732 CINNAMON BEACH INC.

Related by address

No related companies by address

Date of last update: 30 Mar 2025

Sources: New York Secretary of State

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