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DR. SAM SHAHEM OB/GYN PLLC

DR. SAM SHAHEM OB/GYN PLLC

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Company Details

Name:	DR. SAM SHAHEM OB/GYN PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	14 Jul 2009 (16 years ago)
Entity Number:	3833430
ZIP code:	11209
County:	Kings
Place of Formation:	New York
Address:	10031 FOURTH AVENUE, STE. 1E, BROOKLYN, NY, United States, 11209

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	10031 FOURTH AVENUE, STE. 1E, BROOKLYN, NY, United States, 11209

National Provider Identifier

NPI Number:

1194097857

Link:

View on NPI website

Authorized Person:

Name:

SAM SHAHEM

Role:

OWNER

Phone:

7189215370

Taxonomy:

Selected Taxonomy:

207VG0400X - Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-921-5370

Fax:

7189219136

Form 5500 Series

Employer Identification Number (EIN):

453933163

Plan Year:

2022

Number Of Participants:

7

Sponsors Telephone Number:

9176937570

File:

Plan Year:

2022

Number Of Participants:

7

Sponsors Telephone Number:

9176937570

File:

Plan Year:

2021

Number Of Participants:

6

Sponsors Telephone Number:

9176937570

File:

Plan Year:

2020

Number Of Participants:

6

Sponsors Telephone Number:

9176937570

File:

Plan Year:

2019

Number Of Participants:

5

Sponsors Telephone Number:

9176937570

File:

Filings

Filing Number	Date Filed	Type	Effective Date
110728002849	2011-07-28	BIENNIAL STATEMENT	2011-07-01
091104000967	2009-11-04	CERTIFICATE OF PUBLICATION	2009-11-04
090714000689	2009-07-14	ARTICLES OF ORGANIZATION	2009-07-14

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

23600.00

Total Face Value Of Loan:

23600.00

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$23,600

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$23,600

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$23,777

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $23,600

Jobs Reported:

4

Initial Approval Amount:

$20,242

Date Approved:

2020-06-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$20,242

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$20,542.03

Servicing Lender:

Fed � Kabbage

Use of Proceeds:

Payroll: $20,242

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State