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STONEYWELL MEDICAL, P.C.

STONEYWELL MEDICAL, P.C.

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Company Details

Name:	STONEYWELL MEDICAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	06 Dec 2005 (20 years ago)
Entity Number:	3288916
ZIP code:	11746
County:	Suffolk
Place of Formation:	New York
Address:	C/O DR. SPENCER LUBIN, 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746
Principal Address:	7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
SPENCER LUBIN	Chief Executive Officer	7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	C/O DR. SPENCER LUBIN, 7 STONYWELL COURT, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:

1770725376

Link:

View on NPI website

Authorized Person:

Name:

DR. SPENCER LUBIN

Role:

PRESIDENT

Phone:

6314621736

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 631-462-1736

Fax:

6314622266

Form 5500 Series

Employer Identification Number (EIN):

203973459

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

6314623559

File:

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

6314623559

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

6314623559

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

6314623559

File:

Plan Year:

2021

Number Of Participants:

3

Sponsors Telephone Number:

6314623559

File:

History

Start date	End date	Type	Value
2010-03-18	2014-01-27	Address	7 SONYWELL COURT, DIX HILLS, NY, 11746, USA (Type of address: Principal Executive Office)
2005-12-06	2014-01-27	Address	C/O DR. SPENCER LUBIN, 7 STONEYWELL COURT, DIX HILLS, NY, 11746, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
140127002578	2014-01-27	BIENNIAL STATEMENT	2013-12-01
111227002217	2011-12-27	BIENNIAL STATEMENT	2011-12-01
100318002941	2010-03-18	BIENNIAL STATEMENT	2009-12-01
051206000049	2005-12-06	CERTIFICATE OF INCORPORATION	2005-12-06

Paycheck Protection Program

Jobs Reported:

3

Initial Approval Amount:

$83,000

Date Approved:

2020-05-12

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$83,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$83,774.67

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $83,000

Jobs Reported:

3

Initial Approval Amount:

$49,000

Date Approved:

2021-02-22

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$49,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$49,348.44

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $48,996
Utilities: $1

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State