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ISLAND SPINE & SPORTS MEDICINE P.C.

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Company Details

Name: ISLAND SPINE & SPORTS MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Apr 2007 (18 years ago)
Entity Number: 3499997
ZIP code: 11801
County: Nassau
Place of Formation: New York
Address: 81 NORTH BROADWAY, HICKSVILLE, NY, United States, 11801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
RICHARD S OBEDIAN Chief Executive Officer 81 NORTH BROADWAY, HICKSVILLE, NY, United States, 11801

DOS Process Agent

Name Role Address
RICHARD S. OBEDIAN M.D. DOS Process Agent 81 NORTH BROADWAY, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1710104641

Authorized Person:

Name:
RICHARD S OBEDIAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5169334352

History

Start date End date Type Value
2007-04-05 2023-05-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
130510006408 2013-05-10 BIENNIAL STATEMENT 2013-04-01
110509002243 2011-05-09 BIENNIAL STATEMENT 2011-04-01
090415002440 2009-04-15 BIENNIAL STATEMENT 2009-04-01
070405000714 2007-04-05 CERTIFICATE OF INCORPORATION 2007-04-05

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$72,432
Date Approved:
2021-02-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,432
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$72,991.34
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $72,428
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$72,432
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,432
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$73,097.97
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $72,432

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State