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SI MEDICAL P.C.

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Company Details

Name: SI MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Feb 2009 (16 years ago)
Entity Number: 3770690
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 175 W CARVER ST, STE 200, HUNTINGTON, NY, United States, 11743

Contact Details

Phone +1 718-769-4100

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SI MEDICAL P.C. DOS Process Agent 175 W CARVER ST, STE 200, HUNTINGTON, NY, United States, 11743

Chief Executive Officer

Name Role Address
ELLIOT MEISENBERG Chief Executive Officer 175 W CARVER ST, STE 200, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1043453244

Authorized Person:

Name:
MRS. CLARA TARANTUL
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
7187694105

History

Start date End date Type Value
2011-06-17 2021-02-04 Address 175 W CARVER ST, STE 200, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)
2009-02-03 2011-06-17 Address 175 WEST CARVER ST SUITE 200, HUNTINGTON, NY, 11743, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210204061469 2021-02-04 BIENNIAL STATEMENT 2021-02-01
190213060657 2019-02-13 BIENNIAL STATEMENT 2019-02-01
150910006178 2015-09-10 BIENNIAL STATEMENT 2015-02-01
131226006080 2013-12-26 BIENNIAL STATEMENT 2013-02-01
110617002117 2011-06-17 BIENNIAL STATEMENT 2011-02-01

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$14,583
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$14,583
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$14,723.64
Servicing Lender:
Signature Bank
Use of Proceeds:
Payroll: $14,583

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State