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307 LONG ISLAND MEDICAL, P.C.

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Company Details

Name: 307 LONG ISLAND MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Sep 2007 (18 years ago)
Entity Number: 3570707
ZIP code: 11791
County: Nassau
Place of Formation: New York
Address: SUITE 108 WEST, 6800 JERICHO TURNPIKE, SYOSSET, NY, United States, 11791
Principal Address: 307 E SHORE RD 2ND FLR, GREAT NECK, NY, United States, 11023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHANTA MALLIKARSUNA Chief Executive Officer 307 E SHORE RD 2ND FLR, GREAT NECK, NY, United States, 11023

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent SUITE 108 WEST, 6800 JERICHO TURNPIKE, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:
1942532676

Authorized Person:

Name:
VENKATA P MAGANTI
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
5164873133

Filings

Filing Number Date Filed Type Effective Date
111018003206 2011-10-18 BIENNIAL STATEMENT 2011-09-01
090910002358 2009-09-10 BIENNIAL STATEMENT 2009-09-01
070920000906 2007-09-20 CERTIFICATE OF INCORPORATION 2007-09-20

USAspending Awards / Financial Assistance

Date:
2021-02-27
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:
4167.00
Total Face Value Of Loan:
4167.00

Paycheck Protection Program

Date Approved:
2021-02-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
4167
Current Approval Amount:
4167
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
4194.68

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State