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MITCHELL J. BLOOM, D.M.D., P.C.

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Company Details

Name: MITCHELL J. BLOOM, D.M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Jan 2005 (20 years ago)
Entity Number: 3156316
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 880 FIFTH AVENUE, SUITE 1-G, NEW YORK, NY, United States, 10021
Principal Address: 2 WASHINGTON SQ VILLAGE, 9S, NEW YORK, NY, United States, 10012

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MITCHELL J BLOOM DOS Process Agent 880 FIFTH AVENUE, SUITE 1-G, NEW YORK, NY, United States, 10021

Chief Executive Officer

Name Role Address
MITCHELL J BLOOM Chief Executive Officer 880 5TH AVE, STE 1-G, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1366513194

Authorized Person:

Name:
DR. MITCHELL J. BLOOM
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-01-02 2025-01-02 Address 880 5TH AVE, STE 1-G, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2024-07-10 2025-01-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-07-10 2024-07-10 Address 880 5TH AVE, STE 1-G, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2024-07-10 2025-01-02 Address 880 5TH AVE, STE 1-G, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2024-07-10 2025-01-02 Address 880 FIFTH AVENUE, SUITE 1-G, NEW YORK, NY, 10021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250102006016 2025-01-02 BIENNIAL STATEMENT 2025-01-02
240710000099 2024-07-10 BIENNIAL STATEMENT 2024-07-10
210108060059 2021-01-08 BIENNIAL STATEMENT 2021-01-01
190107060703 2019-01-07 BIENNIAL STATEMENT 2019-01-01
170105006197 2017-01-05 BIENNIAL STATEMENT 2017-01-01

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State