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ISLAND COSMETIC AND RECONSTRUCTIVE SURGERY, PLLC

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Company Details

Name: ISLAND COSMETIC AND RECONSTRUCTIVE SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Jan 2004 (22 years ago)
Entity Number: 2994733
ZIP code: 11501
County: Suffolk
Place of Formation: New York
Address: 190 EAST JERICHO TURNPIKE, MINEOLA, NY, United States, 11501

DOS Process Agent

Name Role Address
PAMELA GALLAGHER, MD DOS Process Agent 190 EAST JERICHO TURNPIKE, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1013038702

Authorized Person:

Name:
MS. SHANNON POGGI
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5169779926

Form 5500 Series

Employer Identification Number (EIN):
200612642
Plan Year:
2024
Number Of Participants:
17
Sponsors Telephone Number:

History

Start date End date Type Value
2005-12-13 2020-01-02 Address 190 EAST JERICHO TURNPIKE, MINEOLA, NY, 11501, USA (Type of address: Service of Process)
2004-01-02 2005-12-13 Address 1111 MARCUS AVENUE SUITE 107, LAKE SUCCESS, NY, 11042, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200102060310 2020-01-02 BIENNIAL STATEMENT 2020-01-01
180109006254 2018-01-09 BIENNIAL STATEMENT 2018-01-01
160104006175 2016-01-04 BIENNIAL STATEMENT 2016-01-01
140212006366 2014-02-12 BIENNIAL STATEMENT 2014-01-01
120306002278 2012-03-06 BIENNIAL STATEMENT 2012-01-01

USAspending Awards / Financial Assistance

Date:
2021-02-10
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:
155522.00
Total Face Value Of Loan:
155522.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$167,782
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$167,782
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$169,339.48
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $131,582
Utilities: $3,000
Rent: $29,700
Healthcare: $3500
Jobs Reported:
11
Initial Approval Amount:
$155,522
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$155,522
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$157,405.98
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $155,519
Utilities: $1

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State