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GALLERY 57 DENTAL, PLLC

Company Details

Name: GALLERY 57 DENTAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Oct 2005 (20 years ago)
Entity Number: 3275019
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 156 WEST 56TH STREET, Suite 903, NEW YORK, NY, United States, 10019

DOS Process Agent

Name Role Address
GALLERY 57 DENTAL, LLC DOS Process Agent 156 WEST 56TH STREET, Suite 903, NEW YORK, NY, United States, 10019

National Provider Identifier

NPI Number:
1760763148

Authorized Person:

Name:
MASON KOSTINSKY
Role:
CHIEF OPERATING OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
1223P0700X - Prosthodontist
Is Primary:
Yes

Contacts:

Fax:
2122468707

Form 5500 Series

Employer Identification Number (EIN):
204319702
Plan Year:
2023
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
38
Sponsors Telephone Number:

History

Start date End date Type Value
2005-10-31 2025-02-24 Address 24 WEST 57TH STREET, NEW YORK, NY, 10019, 3918, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250224002699 2025-02-24 BIENNIAL STATEMENT 2025-02-24
171010006952 2017-10-10 BIENNIAL STATEMENT 2017-10-01
131015006849 2013-10-15 BIENNIAL STATEMENT 2013-10-01
111114002428 2011-11-14 BIENNIAL STATEMENT 2011-10-01
091021002629 2009-10-21 BIENNIAL STATEMENT 2009-10-01

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
395200
Current Approval Amount:
395200
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
398350.77

Date of last update: 29 Mar 2025

Sources: New York Secretary of State