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LAUREN R. BOGLIOLI, M.D., PLLC

LAUREN R. BOGLIOLI, M.D., PLLC

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Company Details

Name:	LAUREN R. BOGLIOLI, M.D., PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	04 Oct 2002 (23 years ago)
Entity Number:	2819287
ZIP code:	11021
County:	Nassau
Place of Formation:	New York
Address:	889 NORTHERN BLVD, GREAT NECK, NY, United States, 11021

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	889 NORTHERN BLVD, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:

1942495783

Certification Date:

2025-06-08

Link:

View on NPI website

Authorized Person:

Name:

DR. LAUREN BOGLIOLI

Role:

OWNER

Phone:

5165041280

Taxonomy:

Selected Taxonomy:

207RC0000X - Cardiovascular Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 516-504-1280

Fax:

5165041290

Form 5500 Series

Employer Identification Number (EIN):

134216115

Plan Year:

2013

Number Of Participants:

5

Sponsors Telephone Number:

5165041280

File:

Plan Year:

2012

Number Of Participants:

4

Sponsors Telephone Number:

5165041280

File:

Plan Year:

2011

Number Of Participants:

3

Sponsors Telephone Number:

5165041280

File:

Plan Year:

2010

Number Of Participants:

3

Sponsors Telephone Number:

5165041280

File:

Plan Year:

2009

Number Of Participants:

3

Sponsors Telephone Number:

5165041280

File:

History

Start date	End date	Type	Value
2002-10-04	2004-09-27	Address	1 SANDS COURT, PORT WASHINGTON, NY, 11050, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
141103008120	2014-11-03	BIENNIAL STATEMENT	2014-10-01
121106002383	2012-11-06	BIENNIAL STATEMENT	2012-10-01
101027002863	2010-10-27	BIENNIAL STATEMENT	2010-10-01
081006002153	2008-10-06	BIENNIAL STATEMENT	2008-10-01
061011002509	2006-10-11	BIENNIAL STATEMENT	2006-10-01

USAspending Awards / Financial Assistance

Date:

2020-05-02

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

ECONOMIC INJURY DISASTER GRANT

Obligated Amount:

4000.00

Face Value Of Loan:

0.00

Total Face Value Of Loan:

0.00

Paycheck Protection Program

Jobs Reported:

3

Initial Approval Amount:

$44,748

Date Approved:

2021-04-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$44,748

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Female Owned

Veteran:

Unanswered

Forgiveness Amount:

$45,270.26

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $44,745
Utilities: $1

Jobs Reported:

3

Initial Approval Amount:

$26,000

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$23,915

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Female Owned

Veteran:

Unanswered

Forgiveness Amount:

$24,120.73

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $23,915

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State