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DOCTOR HANY G NISSIEM FAMILY MEDICINE PLLC

Company Details

Name: DOCTOR HANY G NISSIEM FAMILY MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Jan 2005 (20 years ago)
Entity Number: 3145720
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 6565 FOURTH SECTION ROAD, SUITE 300, BROCKPORT, NY, United States, 14420

DOS Process Agent

Name Role Address
BROCKPORT FAMILY MEDICINE DOS Process Agent 6565 FOURTH SECTION ROAD, SUITE 300, BROCKPORT, NY, United States, 14420

National Provider Identifier

NPI Number:
1184670283

Authorized Person:

Name:
HANY NISSIEM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5853950622

History

Start date End date Type Value
2005-01-05 2009-02-03 Address 77 PLACE ONE DRIVE, ROCHESTER, NY, 14626, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180411006132 2018-04-11 BIENNIAL STATEMENT 2017-01-01
180406000091 2018-04-06 CERTIFICATE OF AMENDMENT 2018-04-06
130208002055 2013-02-08 BIENNIAL STATEMENT 2013-01-01
110204002199 2011-02-04 BIENNIAL STATEMENT 2011-01-01
090203002399 2009-02-03 BIENNIAL STATEMENT 2009-01-01

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
9799.00
Total Face Value Of Loan:
9799.00

Paycheck Protection Program

Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
9799
Current Approval Amount:
9799
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
9938.36

Date of last update: 29 Mar 2025

Sources: New York Secretary of State