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CHAMPLAIN VALLEY VASCULAR SURGERY, PLLC

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Company Details

Name: CHAMPLAIN VALLEY VASCULAR SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Mar 2006 (19 years ago)
Entity Number: 3339221
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: 206 CORNELIA STREET SUITE 104, PLATTSBURGH, NY, United States, 12901

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 206 CORNELIA STREET SUITE 104, PLATTSBURGH, NY, United States, 12901

National Provider Identifier

NPI Number:
1528208881
Certification Date:
2023-03-03

Authorized Person:

Name:
DR. THEODORE SHUSTER PABST III
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
No
Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2086S0129X - Vascular Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5185627559

Filings

Filing Number Date Filed Type Effective Date
120502002156 2012-05-02 BIENNIAL STATEMENT 2012-03-01
100408002747 2010-04-08 BIENNIAL STATEMENT 2010-03-01
080310002611 2008-03-10 BIENNIAL STATEMENT 2008-03-01
061117000067 2006-11-17 CERTIFICATE OF PUBLICATION 2006-11-17
060324000884 2006-03-24 ARTICLES OF ORGANIZATION 2006-03-24

USAspending Awards / Financial Assistance

Date:
2021-03-09
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:
28537.98
Total Face Value Of Loan:
28537.98

Paycheck Protection Program

Date Approved:
2021-03-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
28537.98
Current Approval Amount:
28537.98
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
28777.23

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State