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ATLANTIC ENDOCRINOLOGY AND DIABETES, P.C.

ATLANTIC ENDOCRINOLOGY AND DIABETES, P.C.

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Company Details

Name:	ATLANTIC ENDOCRINOLOGY AND DIABETES, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	25 Sep 2002 (23 years ago)
Entity Number:	2815941
ZIP code:	11374
County:	Queens
Place of Formation:	New York
Principal Address:	97-25 63RD DR, BASEMENT, REGO PARK, NY, United States, 11374
Address:	9725 63DR, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
STELLA ILYAYEVA	Chief Executive Officer	97-25 63RD DR, BASEMENT, REGO PARK, NY, United States, 11374

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	9725 63DR, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:

1407059199

Certification Date:

2024-03-12

Link:

View on NPI website

Authorized Person:

Name:

STELLA ILYAYEVA

Role:

MD

Phone:

7182752900

Taxonomy:

Selected Taxonomy:

207K00000X - Allergy & Immunology Physician

Is Primary:

No

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

No

Selected Taxonomy:

207RN0300X - Nephrology Physician

Is Primary:

No

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

No

Selected Taxonomy:

208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Is Primary:

No

Contacts:

Phone:

+1 718-275-2900

Fax:

7182752944

Form 5500 Series

Employer Identification Number (EIN):

470890222

Plan Year:

2023

Number Of Participants:

18

Sponsors Telephone Number:

7182752900

File:

Plan Year:

2023

Number Of Participants:

33

Sponsors Telephone Number:

7182752900

File:

Plan Year:

2022

Number Of Participants:

0

Sponsors Telephone Number:

7182752900

File:

Plan Year:

2022

Number Of Participants:

28

Sponsors Telephone Number:

7182752900

File:

Plan Year:

2021

Number Of Participants:

28

Sponsors Telephone Number:

7182752900

File:

History

Start date	End date	Type	Value
2024-09-01	2024-09-01	Address	97-25 63RD DR, BASEMENT, REGO PARK, NY, 11374, USA (Type of address: Chief Executive Officer)
2024-08-29	2024-09-01	Address	97-25 63RD DR, BASEMENT, REGO PARK, NY, 11374, USA (Type of address: Chief Executive Officer)
2024-08-29	2024-08-29	Address	97-25 63RD DR, BASEMENT, REGO PARK, NY, 11374, USA (Type of address: Chief Executive Officer)
2024-08-29	2024-09-01	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-08-29	2024-09-01	Address	9725 63DR, REGO PARK, NY, 11374, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
240901034619	2024-09-01	BIENNIAL STATEMENT	2024-09-01
240829000342	2024-08-29	BIENNIAL STATEMENT	2024-08-29
140919006508	2014-09-19	BIENNIAL STATEMENT	2014-09-01
121220000037	2012-12-20	CERTIFICATE OF AMENDMENT	2012-12-20
120403000998	2012-04-03	CERTIFICATE OF AMENDMENT	2012-04-03

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$27,700

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$27,700

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$28,096.26

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $27,700

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State