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ISLAND OBSTETRICS & GYNECOLOGY P.C.

ISLAND OBSTETRICS & GYNECOLOGY P.C.

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Company Details

Name:	ISLAND OBSTETRICS & GYNECOLOGY P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	30 Nov 2004 (21 years ago)
Entity Number:	3131633
ZIP code:	10304
County:	Richmond
Place of Formation:	New York
Address:	83 WESTMINSTER COURT, STATEN ISLAND, NY, United States, 10304
Principal Address:	83 WESTMINSTER COURT, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	83 WESTMINSTER COURT, STATEN ISLAND, NY, United States, 10304

Chief Executive Officer

Name	Role	Address
DEBRA J WERNER	Chief Executive Officer	83 WESTMINSTER COURT, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:

1699982793

Certification Date:

2021-09-09

Link:

View on NPI website

Authorized Person:

Name:

DR. DEBRA J WERNER

Role:

DOCTOR

Phone:

7186681700

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 718-668-1700

Fax:

7186681733

Form 5500 Series

Employer Identification Number (EIN):

201946837

Plan Year:

2024

Number Of Participants:

11

Sponsors Telephone Number:

7186681700

File:

Plan Year:

2023

Number Of Participants:

10

Sponsors Telephone Number:

7186681700

File:

Plan Year:

2022

Number Of Participants:

10

Sponsors Telephone Number:

7186681700

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

7186681700

File:

Plan Year:

2020

Number Of Participants:

10

Sponsors Telephone Number:

7186681700

File:

Filings

Filing Number	Date Filed	Type	Effective Date
141209006750	2014-12-09	BIENNIAL STATEMENT	2014-11-01
121221002266	2012-12-21	BIENNIAL STATEMENT	2012-11-01
101201002311	2010-12-01	BIENNIAL STATEMENT	2010-11-01
081029002950	2008-10-29	BIENNIAL STATEMENT	2008-11-01
061117002328	2006-11-17	BIENNIAL STATEMENT	2006-11-01

Paycheck Protection Program

Jobs Reported:

9

Initial Approval Amount:

$84,450

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$84,450

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$85,247.58

Servicing Lender:

HSBC Bank USA, National Association

Use of Proceeds:

Payroll: $84,450

Jobs Reported:

9

Initial Approval Amount:

$84,450

Date Approved:

2021-01-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$84,450

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$85,526.74

Servicing Lender:

HSBC Bank USA, National Association

Use of Proceeds:

Payroll: $84,448
Utilities: $1

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State