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PARK AVENUE ORAL & FACIAL SURGERY, P.C.

PARK AVENUE ORAL & FACIAL SURGERY, P.C.

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Company Details

Name:	PARK AVENUE ORAL & FACIAL SURGERY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	28 Jan 2010 (15 years ago)
Entity Number:	3905578
ZIP code:	10028
County:	New York
Place of Formation:	New York
Address:	970 PARK AVENUE, NEW YORK, NY, United States, 10028

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
RUBEN COHEN	Chief Executive Officer	970 PARK AVENUE, NEW YORK, NY, United States, 10028

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	970 PARK AVENUE, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:

1396061891

Certification Date:

2020-06-08

Link:

View on NPI website

Authorized Person:

Name:

DR. RUBEN COHEN

Role:

PRESIDENT

Phone:

2129886725

Taxonomy:

Selected Taxonomy:

1223S0112X - Oral and Maxillofacial Surgery (Dentist)

Is Primary:

Yes

Contacts:

Phone:

+1 212-988-6725

Fax:

2129886726

Form 5500 Series

Employer Identification Number (EIN):

271828298

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

2129886725

File:

Plan Year:

2023

Number Of Participants:

15

Sponsors Telephone Number:

2129886725

File:

Plan Year:

2022

Number Of Participants:

11

Sponsors Telephone Number:

2129886725

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

2129886725

File:

Plan Year:

2020

Number Of Participants:

4

Sponsors Telephone Number:

2129886725

File:

History

Start date	End date	Type	Value
2010-01-28	2011-07-19	Address	225 BROADWAY, SUITE 1902, NEW YORK, NY, 10007, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
200103061213	2020-01-03	BIENNIAL STATEMENT	2020-01-01
180102007596	2018-01-02	BIENNIAL STATEMENT	2018-01-01
160104008049	2016-01-04	BIENNIAL STATEMENT	2016-01-01
140204002059	2014-02-04	BIENNIAL STATEMENT	2014-01-01
120127002469	2012-01-27	BIENNIAL STATEMENT	2012-01-01

Fine And Fees

Fee Sequence Id	Fee type	Status	Date	Amount	Description
2797048	SL VIO	INVOICED	2018-06-06	700	SL - Sick Leave Violation

USAspending Awards / Financial Assistance

Date:

2020-04-16

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

ECONOMIC INJURY DISASTER GRANT

Obligated Amount:

9000.00

Face Value Of Loan:

0.00

Total Face Value Of Loan:

0.00

Paycheck Protection Program

Jobs Reported:

14

Initial Approval Amount:

$142,390

Date Approved:

2021-03-12

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$142,390

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$143,533.47

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $142,386
Utilities: $1

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State