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EDWIN P. SU, M.D., P.C.

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Company Details

Name: EDWIN P. SU, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Oct 2007 (18 years ago)
Entity Number: 3581427
ZIP code: 11530
County: New York
Place of Formation: New York
Address: 600 OLD COUNTRY ROAD, SUITE 230, GARDEN CITY, NY, United States, 11530
Principal Address: 541 E 71ST ST, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
EDWIN P SU Chief Executive Officer 535 E 70TH ST, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
ANNA M. BOUTZALIS, CPA DOS Process Agent 600 OLD COUNTRY ROAD, SUITE 230, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1164600813

Authorized Person:

Name:
MR. PETER J MCKINNON
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
9146061138

Form 5500 Series

Employer Identification Number (EIN):
261332616
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2009-11-23 2011-12-09 Address 519 EAST 72ND ST, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
2007-10-17 2025-02-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
111209002156 2011-12-09 BIENNIAL STATEMENT 2011-10-01
091123002101 2009-11-23 BIENNIAL STATEMENT 2009-10-01
071017000657 2007-10-17 CERTIFICATE OF INCORPORATION 2007-10-17

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$160,900
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$160,900
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$162,844.21
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $160,900
Jobs Reported:
6
Initial Approval Amount:
$160,900
Date Approved:
2021-01-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$160,900
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$165,172.79
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $160,897
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State