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SOUTHTOWNS MEDICINE AND PEDIATRICS, P.C.

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Company Details

Name: SOUTHTOWNS MEDICINE AND PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jul 2008 (17 years ago)
Entity Number: 3697829
ZIP code: 14052
County: Erie
Place of Formation: New York
Address: 268 MAIN STREET, EAST AURORA, NY, United States, 14052

Shares Details

Shares issued 1000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
JACQUELINE DOMBROWSKI MD DOS Process Agent 268 MAIN STREET, EAST AURORA, NY, United States, 14052

Chief Executive Officer

Name Role Address
JACQUELINE DOMBROWSKI Chief Executive Officer 268 MAIN STREET, EAST AURORA, NY, United States, 14052

National Provider Identifier

NPI Number:
1750531620

Authorized Person:

Name:
JILL JONES
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7168051225

Form 5500 Series

Employer Identification Number (EIN):
263031054
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
120808002129 2012-08-08 BIENNIAL STATEMENT 2012-07-01
100825002988 2010-08-25 BIENNIAL STATEMENT 2010-07-01
080718000131 2008-07-18 CERTIFICATE OF INCORPORATION 2008-07-18

USAspending Awards / Financial Assistance

Date:
2010-06-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
25000.00
Total Face Value Of Loan:
25000.00

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State