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STANFORD N. SULLUM, MD, PLLC

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

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
2128763478

Form 5500 Series

Employer Identification Number (EIN):
760714052
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
3
Sponsors Telephone Number:

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
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
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

Date of last update: 27 Mar 2025

Sources: New York Secretary of State