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NORTH SHORE CHILD PSYCHIATRY, P.C.

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Company Details

Name: NORTH SHORE CHILD PSYCHIATRY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 May 2005 (20 years ago)
Entity Number: 3208984
ZIP code: 11725
County: Suffolk
Place of Formation: New York
Address: 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

Chief Executive Officer

Name Role Address
ASRA F SIDDIQI Chief Executive Officer 6277 JERICHO TURNPIKE, COMMACK, NY, United States, 11725

National Provider Identifier

NPI Number:
1649532797
Certification Date:
2023-11-16

Authorized Person:

Name:
DR. ASRA F SIDDIQI
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6316286869

History

Start date End date Type Value
2005-05-24 2009-05-07 Address 74 OVERLOOK DRIVE, FARMINGVILLE, NY, 11738, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
110524002648 2011-05-24 BIENNIAL STATEMENT 2011-05-01
090507003269 2009-05-07 BIENNIAL STATEMENT 2009-05-01
090129002147 2009-01-29 BIENNIAL STATEMENT 2007-05-01
050524000202 2005-05-24 CERTIFICATE OF INCORPORATION 2005-05-24

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$25,825
Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,825
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$26,001.47
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $25,819
Utilities: $1

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State