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MODERN MEDICAL PLLC

Company Details

Name: MODERN MEDICAL PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Mar 2004 (21 years ago)
Entity Number: 3026071
ZIP code: 11559
County: Nassau
Place of Formation: New York
Address: 25 HARBORVIEW W, LAWRENCE, NY, United States, 11559

Contact Details

Phone +1 718-998-2222

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 25 HARBORVIEW W, LAWRENCE, NY, United States, 11559

National Provider Identifier

NPI Number:
1417057951
Certification Date:
2025-03-07

Authorized Person:

Name:
DR. ILYA KLEYN
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2125715001

Filings

Filing Number Date Filed Type Effective Date
040603001264 2004-06-03 AFFIDAVIT OF PUBLICATION 2004-06-03
040603001266 2004-06-03 AFFIDAVIT OF PUBLICATION 2004-06-03
040312000913 2004-03-12 ARTICLES OF ORGANIZATION 2004-03-12

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
37989.79
Total Face Value Of Loan:
37989.79
Date:
2020-04-30
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:
40687.00
Total Face Value Of Loan:
40687.00

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
40687
Current Approval Amount:
40687
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
41177.5

Date of last update: 29 Mar 2025

Sources: New York Secretary of State