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MICHAEL PALTIEL MD, P.C.

MICHAEL PALTIEL MD, P.C.

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Company Details

Name:	MICHAEL PALTIEL MD, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	22 May 2008 (17 years ago)
Entity Number:	3675179
ZIP code:	11375
County:	Queens
Place of Formation:	New York
Address:	64-05 YELLOWSTONE BLVD, CFU 101, FOREST HILLS, NY, United States, 11375
Principal Address:	64-05 Yellowstone Blvd, CFU 101, Forest Hills, NY, United States, 11375

Contact Details

Phone +1 718-896-3376

Phone +1 718-342-3269

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
MICHAEL PALITEL MD PC	DOS Process Agent	64-05 YELLOWSTONE BLVD, CFU 101, FOREST HILLS, NY, United States, 11375

Agent

Name	Role	Address
MICHAEL PALTIEL MD	Agent	64-05 YELLOWSTONE BLVD, CFU 101, FOREST HILLS, NY, 11375

Chief Executive Officer

Name	Role	Address
MICHAEL PALTIEL	Chief Executive Officer	64-05 YELLOWSTONE BLVD., CFU 101/, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:

1013175165

Link:

View on NPI website

Authorized Person:

Name:

MICHAEL PALTIEL

Role:

DERMATOLOGIST

Phone:

9175268498

Taxonomy:

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 917-526-8498

Phone:

+1 516-829-3376

Fax:

5168292019

Form 5500 Series

Employer Identification Number (EIN):

262680104

Plan Year:

2023

Number Of Participants:

12

Sponsors Telephone Number:

7188963376

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

7188963376

File:

Plan Year:

2021

Number Of Participants:

12

Sponsors Telephone Number:

7188963376

File:

Plan Year:

2020

Number Of Participants:

9

Sponsors Telephone Number:

7188963376

Plan Year:

2020

Number Of Participants:

16

Sponsors Telephone Number:

7188963376

File:

History

Start date	End date	Type	Value
2011-05-27	2015-01-16	Address	107 NORTHERN BLVD SUITE 206, GREAT NECK, NY, 11021, USA (Type of address: Registered Agent)
2011-05-27	2015-01-16	Address	107 NORTHERN BLVD SUITE 206, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
2010-06-10	2014-05-05	Address	96-09 66TH AVENUE / 4L, REGO PARK, NY, 11374, USA (Type of address: Principal Executive Office)
2010-06-10	2011-05-27	Address	96-09 66TH AVENUE / 4L, REGO PARK, NY, 11374, USA (Type of address: Service of Process)
2010-06-10	2014-05-05	Address	96-09 66TH AVENUE / APT 4L, REGO PARK, NY, 11374, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
211104002322	2021-11-04	BIENNIAL STATEMENT	2021-11-04
150116000294	2015-01-16	CERTIFICATE OF CHANGE	2015-01-16
140505006979	2014-05-05	BIENNIAL STATEMENT	2014-05-05
110527000955	2011-05-27	CERTIFICATE OF CHANGE	2011-05-27
100610002028	2010-06-10	BIENNIAL STATEMENT	2010-05-01

Paycheck Protection Program

Jobs Reported:

20

Initial Approval Amount:

$185,440

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$185,440

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$187,893.9

Servicing Lender:

Celtic Bank Corporation

Use of Proceeds:

Payroll: $139,080
Utilities: $23,180
Rent: $23,180

Jobs Reported:

21

Initial Approval Amount:

$139,904

Date Approved:

2021-02-04

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$139,904

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$140,927.41

Servicing Lender:

Celtic Bank Corporation

Use of Proceeds:

Payroll: $139,901
Utilities: $1

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State