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TRI STATE MEDICAL ASSOCIATES, P.C.

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Company Details

Name: TRI STATE MEDICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Feb 2009 (16 years ago)
Entity Number: 3774919
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: P.O. BOX 992, PORT JEFFERSON STA., NY, United States, 11776
Principal Address: 1903 UTICA AVE, BROOKLYN, NY, United States, 11234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
BRIAN MARMOR DOS Process Agent P.O. BOX 992, PORT JEFFERSON STA., NY, United States, 11776

Chief Executive Officer

Name Role Address
BRIAN MARMOR Chief Executive Officer 1903 UTICA AVE, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1922249606

Authorized Person:

Name:
DANIELA MATRANGA
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7187322434
Fax:
6316420245

History

Start date End date Type Value
2009-10-21 2009-11-12 Address 931 HALLOCK AVENUE, PT. JEFFERSON STAT., NY, 11776, USA (Type of address: Service of Process)
2009-02-13 2022-12-08 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2009-02-13 2009-10-21 Address 931 HALLOCK AVENUE, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130916002027 2013-09-16 BIENNIAL STATEMENT 2013-02-01
111108002617 2011-11-08 BIENNIAL STATEMENT 2011-02-01
091112000497 2009-11-12 CERTIFICATE OF CHANGE 2009-11-12
091021000313 2009-10-21 CERTIFICATE OF CHANGE 2009-10-21
090213000446 2009-02-13 CERTIFICATE OF INCORPORATION 2009-02-13

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$53,700
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$54,074.41
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $53,698
Utilities: $1
Jobs Reported:
2
Initial Approval Amount:
$53,700
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$54,336.94
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $53,700

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State