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UPSTATE UROLOGY, INC.

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Company Details

Name: UPSTATE UROLOGY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 16 Jul 2008 (17 years ago)
Entity Number: 3696873
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 750 EAST ADAMS STREET, SYRACUSE, NY, United States, 13210

Contact Details

Phone +1 315-464-1500

Phone +1 315-361-1041

Phone +1 315-464-6060

Phone +1 315-464-6106

Phone +1 315-492-3700

Phone +1 315-551-6003

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 750 EAST ADAMS STREET, SYRACUSE, NY, United States, 13210

Unique Entity ID

CAGE Code:
5CXB3
UEI Expiration Date:
2021-04-10

Business Information

Activation Date:
2020-04-14
Initial Registration Date:
2009-03-17

Commercial and government entity program

CAGE number:
5CXB3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-04-15
CAGE Expiration:
2025-04-14
SAM Expiration:
2021-10-07

Contact Information

POC:
MATTHEW HUTZ

National Provider Identifier

NPI Number:
1003062043

Authorized Person:

Name:
GENNADY BRATSLAVSKY
Role:
CHAIR
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
3154646117

Form 5500 Series

Employer Identification Number (EIN):
262993919
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
22
Sponsors Telephone Number:

History

Start date End date Type Value
2008-07-16 2009-10-28 Address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210, 1834, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
091028000800 2009-10-28 CERTIFICATE OF AMENDMENT 2009-10-28
080716000437 2008-07-16 CERTIFICATE OF INCORPORATION 2008-07-16

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA52816J0089
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-5020.02
Base And Exercised Options Value:
-5020.02
Base And All Options Value:
-5020.02
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-08-11
Description:
IGF::OT::IGF - UROLOGY PHYSICIAN SERVICES AT THE SYRACUSE VAMC IN VISN 2.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q525: MEDICAL- UROLOGY
Procurement Instrument Identifier:
VA52815J0166
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
7344.58
Base And Exercised Options Value:
7344.58
Base And All Options Value:
7344.58
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2015-03-05
Description:
UROLOGY IGF::CL::IGF
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q525: MEDICAL- UROLOGY
Procurement Instrument Identifier:
VA52815J0167
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
130000.00
Base And Exercised Options Value:
130000.00
Base And All Options Value:
130000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-12-01
Description:
UROLOGY IGF::CL::IGF
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q525: MEDICAL- UROLOGY

USAspending Awards / Financial Assistance

Date:
2020-04-16
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:
595012.00
Total Face Value Of Loan:
595012.00

Tax Exempt

Employer Identification Number (EIN) :
26-2993919
In Care Of Name:
% ZAHI MAKHULI MD
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2012-12
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Paycheck Protection Program

Jobs Reported:
29
Initial Approval Amount:
$595,012
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$595,012
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$602,315.16
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $590,178
Utilities: $0
Mortgage Interest: $0
Rent: $0
Refinance EIDL: $0
Healthcare: $4834
Debt Interest: $0

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State