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  5. STANFORD N. SULLUM, MD, PLLC

STANFORD N. SULLUM, MD, PLLC

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Company Details

Name: STANFORD N. SULLUM, MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 14 Jun 2010 (15 years ago)
Entity Number: 3961223
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 1136 5TH AVENUE, NEW YORK, NY, United States, 10128

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1136 5TH AVENUE, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1417227562
Link:
View on NPI website

Authorized Person:

Name:
DR. STANFORD N SULLUM
Role:
OWNER
Phone:
2128764630

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 212-876-4630
Fax:
2128763478

Form 5500 Series

Employer Identification Number (EIN):
760714052
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
2128764630
File:
View File
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
2128764630
File:
View File
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
2128764630
File:
View File
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
2128764630
File:
View File
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
2128764630
File:
View File

Filings

Filing Number Date Filed Type Effective Date
200616060181 2020-06-16 BIENNIAL STATEMENT 2020-06-01
120605006650 2012-06-05 BIENNIAL STATEMENT 2012-06-01
100614000325 2010-06-14 ARTICLES OF ORGANIZATION 2010-06-14

USAspending Awards / Financial Assistance

Date:
2021-02-01
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:
21900.00
Total Face Value Of Loan:
21900.00
Date:
2020-04-28
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:
28800.00
Total Face Value Of Loan:
28800.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$28,800
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$29,133.6
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $28,800
Jobs Reported:
3
Initial Approval Amount:
$21,900
Date Approved:
2021-02-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$21,900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$22,023.49
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $21,898
Utilities: $1

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Related by address

1136 5TH AVENUE, NEW YORK, NY, United States, 10128

GARY ZUCKER, M. D., P. C. JAMAL RAHAMAN, GYN ONCOLOGIST, PLLC

Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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