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EDWARD S. BENNETT, MD, PLLC

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Company Details

Name: EDWARD S. BENNETT, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Dec 2007 (17 years ago)
Entity Number: 3606815
ZIP code: 11367
County: Queens
Place of Formation: New York
Address: 139-12 73RD TERRACE, FLUSHING, NY, United States, 11367

Contact Details

Phone +1 646-623-3350

DOS Process Agent

Name Role Address
EDWARD S. BENNETT, MD, PLLC DOS Process Agent 139-12 73RD TERRACE, FLUSHING, NY, United States, 11367

National Provider Identifier

NPI Number:
1770828162

Authorized Person:

Name:
EDWARD BENNETT
Role:
PROVIDER AND OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
261620301
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2007-12-18 2013-12-10 Address 141-32 70TH ROAD, FLUSHING, NY, 11367, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
191203061942 2019-12-03 BIENNIAL STATEMENT 2019-12-01
171204006061 2017-12-04 BIENNIAL STATEMENT 2017-12-01
151202006662 2015-12-02 BIENNIAL STATEMENT 2015-12-01
131210006042 2013-12-10 BIENNIAL STATEMENT 2013-12-01
111220002422 2011-12-20 BIENNIAL STATEMENT 2011-12-01

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
90017.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
-102794.00
Total Face Value Of Loan:
102794.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
102794
Current Approval Amount:
102794
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
103655.78

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State