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SALVATORE J. PALUMBO, M.D., P.C.

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Company Details

Name: SALVATORE J. PALUMBO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jul 2003 (22 years ago)
Entity Number: 2935374
ZIP code: 11730
County: Suffolk
Place of Formation: New York
Address: 22 The Moor, EAST ISLIP, NY, United States, 11730
Principal Address: 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

Contact Details

Phone +1 631-422-5371

Shares Details

Shares issued 200

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
SALVATORE J. PALUMBO, M.D., P.C. DOS Process Agent 22 The Moor, EAST ISLIP, NY, United States, 11730

Chief Executive Officer

Name Role Address
SALVATORE J PALUMBO, MD Chief Executive Officer 380 MONTAUK HWY, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1578610010
Certification Date:
2022-01-20

Authorized Person:

Name:
MATTHEW BAUMBACH
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
432023476
Plan Year:
2015
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2025-07-01 2025-07-01 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2025-07-01 2025-07-01 Address 1175 MONTAUK HWY, STE 6, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2023-07-12 2023-07-12 Address 1175 MONTAUK HWY, STE 6, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2023-07-12 2025-07-01 Shares Share type: PAR VALUE, Number of shares: 200, Par value: 0.01
2023-07-12 2023-07-12 Address 380 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250701044727 2025-07-01 BIENNIAL STATEMENT 2025-07-01
230712001965 2023-07-12 BIENNIAL STATEMENT 2023-07-01
220126000334 2022-01-26 BIENNIAL STATEMENT 2022-01-26
220514000603 2021-08-17 CERTIFICATE OF CHANGE BY ENTITY 2021-08-17
051018002037 2005-10-18 BIENNIAL STATEMENT 2005-07-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$27,392.5
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,393
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$27,755.49
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $27,393
Jobs Reported:
2
Initial Approval Amount:
$27,392.5
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$27,392.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$27,633.4
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $27,392.5

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State