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MARK TOBAK, M.D., P.C.

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Company Details

Name: MARK TOBAK, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Nov 2004 (21 years ago)
Entity Number: 3122617
ZIP code: 10543
County: Westchester
Place of Formation: New York
Address: 1600 HARRISON AVE, SUITE 105A, MAMARONECK, NY, United States, 10543

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARK TOBAK MD Chief Executive Officer 1600 HARRISON AVE, SUITE 105A, MAMARONECK, NY, United States, 10543

DOS Process Agent

Name Role Address
MARK TOBAK, M.D., P.C. DOS Process Agent 1600 HARRISON AVE, SUITE 105A, MAMARONECK, NY, United States, 10543

National Provider Identifier

NPI Number:
1295891588

Authorized Person:

Name:
MARK TOBAK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9146980685

Form 5500 Series

Employer Identification Number (EIN):
861121270
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2018-12-03 2020-11-03 Address 1600 HARRISON AVE, SUITE 105A, MAMARONECK, NY, 10543, USA (Type of address: Service of Process)
2004-11-04 2018-12-03 Address 1600 HARRISON AVENUE, SUITE 105A, MAMARONECK, NY, 10543, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201103061337 2020-11-03 BIENNIAL STATEMENT 2020-11-01
181203008191 2018-12-03 BIENNIAL STATEMENT 2018-11-01
161108006215 2016-11-08 BIENNIAL STATEMENT 2016-11-01
141103007544 2014-11-03 BIENNIAL STATEMENT 2014-11-01
121108006524 2012-11-08 BIENNIAL STATEMENT 2012-11-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$55,700
Date Approved:
2021-03-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $55,700
Jobs Reported:
2
Initial Approval Amount:
$52,800
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$53,388.13
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $52,800

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State