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BROOKHAVEN CARDIAC, LLC

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Company Details

Name: BROOKHAVEN CARDIAC, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Feb 2005 (20 years ago)
Entity Number: 3159087
ZIP code: 11763
County: Suffolk
Place of Formation: New York
Address: 74 SOUTHAVEN AVENUE, STE. E, MEDFORD, NY, United States, 11763

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 74 SOUTHAVEN AVENUE, STE. E, MEDFORD, NY, United States, 11763

National Provider Identifier

NPI Number:
1821177981

Authorized Person:

Name:
SOMA PULIPATI
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6314473852

Filings

Filing Number Date Filed Type Effective Date
070206002432 2007-02-06 BIENNIAL STATEMENT 2007-02-01
050613000336 2005-06-13 AFFIDAVIT OF PUBLICATION 2005-06-13
050613000340 2005-06-13 AFFIDAVIT OF PUBLICATION 2005-06-13
050202000931 2005-02-02 ARTICLES OF ORGANIZATION 2005-02-02

USAspending Awards / Financial Assistance

Date:
2021-05-18
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:
100600.00
Total Face Value Of Loan:
100600.00
Date:
2020-04-28
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:
100600.00
Total Face Value Of Loan:
100600.00
Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$100,600
Date Approved:
2021-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$101,019.17
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $100,595
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$100,600
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$100,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$101,821.17
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $100,600

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State