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ADVANCED INTERNAL MEDICINE P.C.

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Company Details

Name: ADVANCED INTERNAL MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jun 2010 (15 years ago)
Entity Number: 3967507
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 130 GRISTMILL LANE, GREAT NECK, NY, United States, 11021
Principal Address: 935 NORTHERN BLVD, STE 105, GREAT NECK, NY, United States, 11021

Contact Details

Phone +1 516-487-0070

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SHAHRAM D. SHAMEKH DOS Process Agent 130 GRISTMILL LANE, GREAT NECK, NY, United States, 11021

Chief Executive Officer

Name Role Address
SHAHRAM D. SHAMEKH Chief Executive Officer 935 NORTHERN BLVD, SUITE# 105, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1467709451

Authorized Person:

Name:
DR. SHAHRAM DANIEL SHAMEKH
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5164870072

Form 5500 Series

Employer Identification Number (EIN):
273034026
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2016-06-03 2020-06-04 Address 833 NORTHERN BLVD., SUITE# 120, GREAT NECK, NY, 11021, USA (Type of address: Chief Executive Officer)
2014-06-11 2016-06-03 Address 833 NORTHERN BLVD., SUITE# 100, GREAT NECK, NY, 11021, USA (Type of address: Chief Executive Officer)
2012-06-04 2014-06-11 Address 14 WILLOW PLACE, GREAT NECK, NY, 11021, USA (Type of address: Chief Executive Officer)
2012-06-04 2020-06-04 Address 14 WILLOW PLACE, GREAT NECK, NY, 11021, USA (Type of address: Principal Executive Office)
2010-06-29 2020-06-04 Address 14 WILLOW PLACE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200604060888 2020-06-04 BIENNIAL STATEMENT 2020-06-01
160603006227 2016-06-03 BIENNIAL STATEMENT 2016-06-01
140611006632 2014-06-11 BIENNIAL STATEMENT 2014-06-01
120604006140 2012-06-04 BIENNIAL STATEMENT 2012-06-01
100629000521 2010-06-29 CERTIFICATE OF INCORPORATION 2010-06-29

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
104400.00
Total Face Value Of Loan:
104400.00
Date:
2020-04-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
104400
Current Approval Amount:
104400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
105172.89

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State