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JEFFREY L. TEITELBAUM M.D., P.C.

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Company Details

Name: JEFFREY L. TEITELBAUM M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Feb 2003 (22 years ago)
Entity Number: 2872124
ZIP code: 11230
County: Kings
Place of Formation: New York
Principal Address: 1263 EAST 10TH ST, BROOKLYN, NY, United States, 11230
Address: 1263 EAST 10TH STREET, BROOKLYN, NY, United States, 11230

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1263 EAST 10TH STREET, BROOKLYN, NY, United States, 11230

Chief Executive Officer

Name Role Address
JEFFREY L TEITELBAUM MD Chief Executive Officer 1263 EAST 10TH STREET, BROOKLYN, NY, United States, 11230

National Provider Identifier

NPI Number:
1306937347
Certification Date:
2023-05-05

Authorized Person:

Name:
MISS MALKY TENENBAUM
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
090213003299 2009-02-13 BIENNIAL STATEMENT 2009-02-01
030220000387 2003-02-20 CERTIFICATE OF INCORPORATION 2003-02-20

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:
108815.00
Total Face Value Of Loan:
108815.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$108,815
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$108,815
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$109,679.47
Servicing Lender:
Valley National Bank
Use of Proceeds:
Payroll: $108,815

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State