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FALLSBURG PEDIATRICS, P.C.

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Company Details

Name: FALLSBURG PEDIATRICS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Mar 2009 (16 years ago)
Entity Number: 3788923
ZIP code: 12733
County: Sullivan
Place of Formation: New York
Address: 142 LAUREL PARK ROAD, FALLSBURG, NY, United States, 12733

Contact Details

Phone +1 845-436-1850

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 142 LAUREL PARK ROAD, FALLSBURG, NY, United States, 12733

National Provider Identifier

NPI Number:
1508157215

Authorized Person:

Name:
ESTHER J GOTTLIEB
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
8454361851

Form 5500 Series

Employer Identification Number (EIN):
264544895
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
090320000567 2009-03-20 CERTIFICATE OF INCORPORATION 2009-03-20

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$44,510
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$44,510
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$44,850.23
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $44,506
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$41,700
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$41,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$42,125
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $41,700

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State