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LONG ISLAND MEDICAL SERVICES P.C.

LONG ISLAND MEDICAL SERVICES P.C.

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Company Details

Name:	LONG ISLAND MEDICAL SERVICES P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	17 Sep 2008 (17 years ago)
Entity Number:	3721749
ZIP code:	11791
County:	Nassau
Place of Formation:	New York
Address:	PO BOX 1248, SYOSSET, NY, United States, 11791
Principal Address:	1978 KNOLLWOOD ROAD, MUTTONTOWN, NY, United States, 11791

Contact Details

Phone +1 631-271-9151

Phone +1 516-579-6000

Phone +1 516-826-1160

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
GRIGORIY KRICHMAR	DOS Process Agent	PO BOX 1248, SYOSSET, NY, United States, 11791

Chief Executive Officer

Name	Role	Address
GRIGORIY KRICHMAR	Chief Executive Officer	1978 KNOLLWOOD ROAD, MUTTONTOWN, NY, United States, 11791

National Provider Identifier

NPI Number:

1841443538

Link:

View on NPI website

Authorized Person:

Name:

DR. GRIGORIY KRICHMAR

Role:

OWNER

Phone:

9175735667

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 917-573-5667

Form 5500 Series

Employer Identification Number (EIN):

800268594

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2022

Number Of Participants:

2

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2021

Number Of Participants:

2

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2020

Number Of Participants:

2

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2019

Number Of Participants:

2

Sponsors Telephone Number:

9175735667

File:

History

Start date	End date	Type	Value
2018-09-04	2020-09-02	Address	PO BOX 1248, SYOSSET, NY, 11791, USA (Type of address: Service of Process)
2012-01-26	2018-09-04	Address	1978 KNOLLWOOD RD, MUTTONTOWN, NY, 11791, USA (Type of address: Service of Process)
2010-10-14	2011-12-08	Address	235 SADDLE LN, MUTTONTOWN, NY, 11791, USA (Type of address: Chief Executive Officer)
2010-10-14	2011-12-08	Address	235 SADDLE LN, MUTTONTOWN, NY, 11791, USA (Type of address: Principal Executive Office)
2008-09-17	2012-01-26	Address	235 SADDLE LN., MUTTONTOWN, NY, 11791, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
200902060438	2020-09-02	BIENNIAL STATEMENT	2020-09-01
180904009988	2018-09-04	BIENNIAL STATEMENT	2018-09-01
160902006099	2016-09-02	BIENNIAL STATEMENT	2016-09-01
140918006023	2014-09-18	BIENNIAL STATEMENT	2014-09-01
130222002171	2013-02-22	BIENNIAL STATEMENT	2012-09-01

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$56,416

Date Approved:

2020-05-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$56,416

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$57,035.01

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $56,416

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State