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MAIN STREET INTERNAL MEDICINE, PLLC

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Company Details

Name: MAIN STREET INTERNAL MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Feb 2005 (20 years ago)
Entity Number: 3164012
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, United States, 11743

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1760433759

Authorized Person:

Name:
DR. MICHEL WILLIAM GHOBRIAL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
202343976
Plan Year:
2009
Number Of Participants:
3
Sponsors Telephone Number:

History

Start date End date Type Value
2023-02-28 2025-02-01 Address 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)
2005-04-28 2023-02-28 Address 124 MAIN STREET - SUITE 12, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)
2005-02-14 2005-04-28 Address 772 PROVIDENCE ROAD APT 402, ALDAN, PA, 19018, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250201040204 2025-02-01 BIENNIAL STATEMENT 2025-02-01
230228001746 2023-02-28 BIENNIAL STATEMENT 2023-02-01
210203060936 2021-02-03 BIENNIAL STATEMENT 2021-02-01
190212060090 2019-02-12 BIENNIAL STATEMENT 2019-02-01
170203006549 2017-02-03 BIENNIAL STATEMENT 2017-02-01

USAspending Awards / Financial Assistance

Date:
2020-06-18
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:
11687.00
Total Face Value Of Loan:
11687.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$11,687
Date Approved:
2020-06-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,687
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$11,776.08
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $7,187
Utilities: $0
Mortgage Interest: $0
Rent: $4,500
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State