| Name: | JUSTIN WILLER MD P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 07 Sep 2006 (19 years ago) |
| Entity Number: | 3409657 |
| ZIP code: | 11230 |
| County: | Kings |
| Place of Formation: | New York |
| Address: | 729 OCEAN PARKWAY, BROOKLYN, NY, United States, 11230 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MTYLM7DKQJF6 | 2024-11-18 | 741 OCEAN PKWY, BROOKLYN, NY, 11230, 1113, USA | 741 OCEAN PKWY, BROOKLYN, NY, 11230, 1113, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | JUSTIN WILLER MD |
| Congressional District | 09 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2023-11-21 |
| Initial Registration Date | 2003-10-28 |
| Entity Start Date | 1997-07-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JUSTIN WILLER |
| Address | 741 OCEAN PARKWAY, BROOKLYN, NY, 11230, 1113, USA |
| Title | ALTERNATE POC |
| Name | JUSTIN WILLER |
| Address | 729 OCEAN PARKWAY, BROOKLYN, NY, 11230, 1113, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JUSTIN WILLER |
| Address | 741 OCEAN PARKWAY, BROOKLYN, NY, 11230, USA |
| Title | ALTERNATE POC |
| Name | JUSTIN WILLER |
| Role | DR |
| Address | 741 OCEAN PARKWAY, BROOKLYN, NY, 11230, 1113, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3KZH2 | Obsolete | Non-Manufacturer | 2003-10-28 | 2024-03-06 | No data | 2024-11-18 | |||||||||||||||
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| POC | JUSTIN WILLER |
| Phone | +1 718-859-8920 |
| Fax | +1 718-859-7438 |
| Address | 741 OCEAN PKWY, BROOKLYN, NY, 11230 1113, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 729 OCEAN PARKWAY, BROOKLYN, NY, United States, 11230 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 060907000984 | 2006-09-07 | CERTIFICATE OF INCORPORATION | 2006-09-07 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BPA | AWARD | 9902 | 2012-09-30 | 2012-09-30 | 2012-09-30 | |||||||||||||||||||||
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| Title | ME EXPRESS REPORTING - MENTAL HEALTH IGF::CT::IGF |
| NAICS Code | 621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| Product and Service Codes | R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS |
Recipient Details
| Recipient | JUSTIN WILLER MD P.C. |
| UEI | MTYLM7DKQJF6 |
| Legacy DUNS | 042435565 |
| Recipient Address | UNITED STATES OF AMERICA, 741 OCEAN PKWY, BROOKLYN, KINGS, NEW YORK, 11230 |
| Unique Award Key | CONT_IDV_SS10251120100_2800 |
| Awarding Agency | Social Security Administration |
| Link | View Page |
Description
| Title | IGF::CT::IGF ME EXPRESS REPORTING - MENTAL HEALTH EXPERTS |
| NAICS Code | 621112: OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| Product and Service Codes | R424: SUPPORT- PROFESSIONAL: EXPERT WITNESS |
Recipient Details
| Recipient | JUSTIN WILLER MD P.C. |
| UEI | MTYLM7DKQJF6 |
| Legacy DUNS | 042435565 |
| Recipient Address | UNITED STATES OF AMERICA, 741 OCEAN PKWY, BROOKLYN, KINGS, NEW YORK, 11230 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4413248402 | 2021-02-06 | 0202 | PPP | 741 Ocean Pkwy, Brooklyn, NY, 11230-1113 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 28 Mar 2025
Sources: New York Secretary of State
