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LONG ISLAND SPINE REHABILITATION MEDICINE, P.C.

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Company Details

Name: LONG ISLAND SPINE REHABILITATION MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jun 2006 (19 years ago)
Entity Number: 3371266
ZIP code: 11554
County: Nassau
Place of Formation: New York
Address: 801 MERRICK AVE, EAST MEADOW, NY, United States, 11554

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 801 MERRICK AVE, EAST MEADOW, NY, United States, 11554

Chief Executive Officer

Name Role Address
JASON LIPETZ Chief Executive Officer 801 MERRICK AVE, EAST MEADOW, NY, United States, 11554

National Provider Identifier

NPI Number:
1215026471

Authorized Person:

Name:
DR. JASON S LIPETZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
5163938870

History

Start date End date Type Value
2006-06-05 2008-08-27 Address 90 ASH DR., EAST HILLS, NY, 11576, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160205006268 2016-02-05 BIENNIAL STATEMENT 2014-06-01
120727002275 2012-07-27 BIENNIAL STATEMENT 2012-06-01
080827002905 2008-08-27 BIENNIAL STATEMENT 2008-06-01
060605000241 2006-06-05 CERTIFICATE OF INCORPORATION 2006-06-05

Paycheck Protection Program

Jobs Reported:
31
Initial Approval Amount:
$320,310
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$320,310
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$322,329.73
Servicing Lender:
HSBC Bank USA, National Association
Use of Proceeds:
Payroll: $320,307
Utilities: $1
Jobs Reported:
26
Initial Approval Amount:
$320,310
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$320,310
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$322,961.46
Servicing Lender:
HSBC Bank USA, National Association
Use of Proceeds:
Payroll: $320,310

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State