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COZINE DENTAL GROUP P.C.

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Company Details

Name: COZINE DENTAL GROUP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Nov 2010 (15 years ago)
Entity Number: 4020006
ZIP code: 11207
County: Kings
Place of Formation: New York
Address: 190 COZINE AVE, BROOKLYN, NY, United States, 11207

Contact Details

Phone +1 718-649-1398

Phone +1 718-424-5757

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
COZINE DENTAL GROUP P.C. DOS Process Agent 190 COZINE AVE, BROOKLYN, NY, United States, 11207

Chief Executive Officer

Name Role Address
SHUKAN SHAH Chief Executive Officer 83 EXECUTIVE DRIVE, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1265790224

Authorized Person:

Name:
DR. VIRENDRA SHAH
Role:
GENERAL DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Fax:
7182724688

History

Start date End date Type Value
2025-04-14 2025-04-14 Address 83 EXECUTIVE DRIVE, NEW HYDE PARK, NY, 11040, USA (Type of address: Chief Executive Officer)
2023-05-11 2025-04-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-04-28 2023-05-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-21 2025-04-14 Address 190 COZINE AVE, BROOKLYN, NY, 11207, USA (Type of address: Service of Process)
2023-03-21 2023-04-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250414001772 2025-04-14 BIENNIAL STATEMENT 2025-04-14
230321000839 2023-03-21 BIENNIAL STATEMENT 2022-11-01
120424000458 2012-04-24 CERTIFICATE OF AMENDMENT 2012-04-24
101116000746 2010-11-16 CERTIFICATE OF INCORPORATION 2010-11-16

Paycheck Protection Program

Jobs Reported:
18
Initial Approval Amount:
$64,800
Date Approved:
2020-05-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$64,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$65,766.6
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $64,800

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State