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SUNRISE MALL DENTAL, P.C.

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Company Details

Name: SUNRISE MALL DENTAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Apr 2003 (22 years ago)
Entity Number: 2898787
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 380 SUNRISE MALL, MASSAPEQUA, NY, United States, 11758

Contact Details

Phone +1 516-798-3444

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 380 SUNRISE MALL, MASSAPEQUA, NY, United States, 11758

Chief Executive Officer

Name Role Address
IGOR LEVIN Chief Executive Officer 380 SUNRISE MALL, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1619022944

Authorized Person:

Name:
DR. IGOR LEVIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
5167983443

History

Start date End date Type Value
2005-05-20 2011-04-18 Address 380 SUNRISE HWY, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
2005-05-20 2011-04-18 Address 380 SUNRISE HWY, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office)
2005-05-20 2011-04-18 Address 380 SUNRISE HWY, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2003-04-25 2005-05-20 Address 1704 AVENUE M, BROOKLYN, NY, 11230, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130405007048 2013-04-05 BIENNIAL STATEMENT 2013-04-01
110418002963 2011-04-18 BIENNIAL STATEMENT 2011-04-01
090326002869 2009-03-26 BIENNIAL STATEMENT 2009-04-01
070416002000 2007-04-16 BIENNIAL STATEMENT 2007-04-01
050520002375 2005-05-20 BIENNIAL STATEMENT 2005-04-01

USAspending Awards / Financial Assistance

Date:
2021-03-20
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:
31452.00
Total Face Value Of Loan:
31452.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$63,610
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$63,610
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$50,263.62
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $63,610
Jobs Reported:
6
Initial Approval Amount:
$31,452
Date Approved:
2021-03-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,452
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,769.97
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $31,446
Utilities: $1

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State