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ISLAND MEDICAL SPECIALISTS, PLLC

ISLAND MEDICAL SPECIALISTS, PLLC

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Company Details

Name:	ISLAND MEDICAL SPECIALISTS, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	08 Jul 2003 (22 years ago)
Entity Number:	2928085
ZIP code:	10306
County:	Richmond
Place of Formation:	New York
Address:	347 EDISON ST, STATEN ISLAND, NY, United States, 10306

Contact Details

Phone +1 718-351-1136

Phone +1 718-226-9000

Phone +1 718-876-6220

Phone +1 718-683-3955

Phone +1 718-698-8800

DOS Process Agent

Name	Role	Address
LEONARD LEFKOVIC M.D.	DOS Process Agent	347 EDISON ST, STATEN ISLAND, NY, United States, 10306

National Provider Identifier

NPI Number:

1407844160

Certification Date:

2022-12-21

Link:

View on NPI website

Authorized Person:

Name:

LORI GUTERMAN

Role:

CREDENTIALING COORDINATOR

Phone:

7188766220

Taxonomy:

Selected Taxonomy:

207RC0000X - Cardiovascular Disease Physician

Is Primary:

No

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-351-1136

Fax:

7186679711

Form 5500 Series

Employer Identification Number (EIN):

200180304

Plan Year:

2023

Number Of Participants:

89

Sponsors Telephone Number:

7183512393

File:

Plan Year:

2022

Number Of Participants:

57

Sponsors Telephone Number:

7183512393

Plan Year:

2021

Number Of Participants:

70

Sponsors Telephone Number:

7183512393

File:

Plan Year:

2020

Number Of Participants:

67

Sponsors Telephone Number:

7183512393

File:

Plan Year:

2019

Number Of Participants:

70

Sponsors Telephone Number:

7183512393

File:

History

Start date	End date	Type	Value
2003-07-08	2011-08-08	Address	ATTN: MORTON J. KLEINER, M.D., 347 EDISON STREET, STATEN ISLAND, NY, 10306, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
130808002430	2013-08-08	BIENNIAL STATEMENT	2013-07-01
110808002229	2011-08-08	BIENNIAL STATEMENT	2011-07-01
090812003159	2009-08-12	BIENNIAL STATEMENT	2009-07-01
070723002294	2007-07-23	BIENNIAL STATEMENT	2007-07-01
050715002015	2005-07-15	BIENNIAL STATEMENT	2005-07-01

USAspending Awards / Financial Assistance

Date:

2020-04-11

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:

357942.00

Total Face Value Of Loan:

441270.00

Paycheck Protection Program

Jobs Reported:

45

Initial Approval Amount:

$357,942

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$441,270

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$446,976.29

Servicing Lender:

Northfield Bank

Use of Proceeds:

Payroll: $441,270

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State