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LONG ISLAND PEDIATRICS OF BRENTWOOD P.C.

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Company Details

Name: LONG ISLAND PEDIATRICS OF BRENTWOOD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 30 Apr 2010 (15 years ago)
Entity Number: 3944344
ZIP code: 11717
County: Suffolk
Place of Formation: New York
Address: 55 2ND AVENUE / UNIT #9, BRENTWOOD, NY, United States, 11717

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ALAAELDIN MOAWAD Chief Executive Officer 55 2ND AVENUE / UNIT #9, BRENTWOOD, NY, United States, 11717

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 55 2ND AVENUE / UNIT #9, BRENTWOOD, NY, United States, 11717

National Provider Identifier

NPI Number:
1912226689

Authorized Person:

Name:
DR. ALAAELDIN F MOAWAD
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6318132613

History

Start date End date Type Value
2012-07-26 2016-08-29 Address 55 WND AVENUE / UNIT #9, BRENTWOOD, NY, 11717, USA (Type of address: Chief Executive Officer)
2010-04-30 2012-07-26 Address 55 2ND AVENUE, UNITE # 9, BRENTWOOD, NY, 11717, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160829006191 2016-08-29 BIENNIAL STATEMENT 2016-04-01
140730002376 2014-07-30 BIENNIAL STATEMENT 2014-04-01
120726002540 2012-07-26 BIENNIAL STATEMENT 2012-04-01
100430000761 2010-04-30 CERTIFICATE OF INCORPORATION 2010-04-30

USAspending Awards / Financial Assistance

Date:
2020-08-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
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:
47500.00
Total Face Value Of Loan:
47500.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
47500
Current Approval Amount:
47500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
47911.67

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State