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KAYVAN KEYHANI, M.D., P.C.

KAYVAN KEYHANI, M.D., P.C.

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Company Details

Name:	KAYVAN KEYHANI, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	04 Nov 2008 (17 years ago)
Entity Number:	3739498
ZIP code:	10598
County:	Putnam
Place of Formation:	New York
Address:	3535 HILL BOULEVARD SUITE R, SUITE R, YORKTOWN HEIGHTS, NY, United States, 10598

Contact Details

Phone +1 914-245-3303

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
KAYVAN KEYHANI MD	DOS Process Agent	3535 HILL BOULEVARD SUITE R, SUITE R, YORKTOWN HEIGHTS, NY, United States, 10598

Chief Executive Officer

Name	Role	Address
KAYVAN KEYHANI MD	Chief Executive Officer	3535 HILL BOULEVARD SUITE R, SUITE R, YORKTOWN HEIGHTS, NY, United States, 10598

National Provider Identifier

NPI Number:

1063667202

Certification Date:

2021-11-09

Link:

View on NPI website

Authorized Person:

Name:

DR. KAYVAN KEYHANI

Role:

DIRECTOR

Phone:

9142453303

Taxonomy:

Selected Taxonomy:

207W00000X - Ophthalmology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 914-245-3303

Fax:

9142453531

Form 5500 Series

Employer Identification Number (EIN):

263680467

Plan Year:

2024

Number Of Participants:

17

Sponsors Telephone Number:

9142453304

File:

Plan Year:

2023

Number Of Participants:

17

Sponsors Telephone Number:

9142453304

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

9142453304

File:

Plan Year:

2021

Number Of Participants:

13

Sponsors Telephone Number:

9142453304

Plan Year:

2020

Number Of Participants:

11

Sponsors Telephone Number:

9142453304

File:

History

Start date	End date	Type	Value
2014-11-13	2020-11-20	Address	3535 HILL BLVD, SUITE R, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Chief Executive Officer)
2014-11-13	2020-11-20	Address	3535 HILL BLVD, SUITE R, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process)
2012-11-21	2014-11-13	Address	3535 HILL BLVD, SUITE 4, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Principal Executive Office)
2012-11-21	2014-11-13	Address	3535 HILL BLVD, SUITE 4, YORKTOWN HEIGHTS, NY, 13598, USA (Type of address: Chief Executive Officer)
2012-11-21	2014-11-13	Address	3535 HILL BLVD, SUITE 4, YORKTOWN HEIGHTS, NY, 10598, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
201120060010	2020-11-20	BIENNIAL STATEMENT	2020-11-01
141113006628	2014-11-13	BIENNIAL STATEMENT	2014-11-01
121121002337	2012-11-21	BIENNIAL STATEMENT	2012-11-01
101214002188	2010-12-14	BIENNIAL STATEMENT	2010-11-01
081104000728	2008-11-04	CERTIFICATE OF INCORPORATION	2008-11-04

Paycheck Protection Program

Jobs Reported:

14

Initial Approval Amount:

$137,600

Date Approved:

2020-04-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$137,600

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$138,432.44

Servicing Lender:

Tompkins Community Bank

Use of Proceeds:

Payroll: $137,600

Jobs Reported:

11

Initial Approval Amount:

$128,282.5

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$128,282.5

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$129,094.37

Servicing Lender:

Tompkins Community Bank

Use of Proceeds:

Payroll: $128,279.5

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State