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YASHODHARA KIRTANE, M.D., PLLC

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Company Details

Name: YASHODHARA KIRTANE, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Aug 2004 (21 years ago)
Entity Number: 3090147
ZIP code: 11694
County: Queens
Place of Formation: New York
Address: 114-12 BEACH CHANNEL DRIVE, ROCKAWAY PARK, NY, United States, 11694

DOS Process Agent

Name Role Address
YASHODHARA KIRTANE MD DOS Process Agent 114-12 BEACH CHANNEL DRIVE, ROCKAWAY PARK, NY, United States, 11694

National Provider Identifier

NPI Number:
1417902248

Authorized Person:

Name:
YASHODHARA KIRTANE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RA0201X - Allergy & Immunology (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
7183184802

Form 5500 Series

Employer Identification Number (EIN):
201683884
Plan Year:
2014
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2004-08-13 2004-12-02 Address 114-12 BEACH CHANNEL DRIVE, ROCKAWAY PARK, NY, 11694, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100825002220 2010-08-25 BIENNIAL STATEMENT 2010-08-01
060802002591 2006-08-02 BIENNIAL STATEMENT 2006-08-01
050318000136 2005-03-18 AFFIDAVIT OF PUBLICATION 2005-03-18
050318000155 2005-03-18 AFFIDAVIT OF PUBLICATION 2005-03-18
041202000699 2004-12-02 CERTIFICATE OF AMENDMENT 2004-12-02

USAspending Awards / Financial Assistance

Date:
2013-02-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF PHYSICAL TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-19000.00
Total Face Value Of Loan:
0.00

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State