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MICHAEL W. ELICE, M.D. PLLC

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Company Details

Name: MICHAEL W. ELICE, M.D. PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Mar 2011 (14 years ago)
Entity Number: 4061849
ZIP code: 11797
County: Nassau
Place of Formation: New York
Address: 40 Crossways Park Dr., Suite 104, WOODBURY, NY, United States, 11797

DOS Process Agent

Name Role Address
MICHAEL ELICE MD DOS Process Agent 40 Crossways Park Dr., Suite 104, WOODBURY, NY, United States, 11797

Agent

Name Role Address
BUSINESS FILINGS INCORPORATED Agent 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205

National Provider Identifier

NPI Number:
1649678780

Authorized Person:

Name:
DR. MICHAEL W. ELICE
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207KA0200X - Allergy Physician
Is Primary:
Yes

Contacts:

Fax:
5168025027

History

Start date End date Type Value
2023-04-21 2025-04-18 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Registered Agent)
2023-04-21 2025-04-18 Address 40 Crossways Park Dr., Suite 104, WOODBURY, NY, 11797, USA (Type of address: Service of Process)
2021-08-30 2023-04-21 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Registered Agent)
2021-08-30 2023-04-21 Address 40 crossways park dr., suite 104, WOODBURY, NY, 11797, USA (Type of address: Service of Process)
2011-03-02 2021-08-30 Address 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
250418002481 2025-04-18 BIENNIAL STATEMENT 2025-04-18
230421001632 2023-04-21 BIENNIAL STATEMENT 2023-03-01
210830000936 2021-06-21 CERTIFICATE OF CHANGE BY ENTITY 2021-06-21
210318060322 2021-03-18 BIENNIAL STATEMENT 2021-03-01
190320060180 2019-03-20 BIENNIAL STATEMENT 2019-03-01

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$57,269
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$57,269
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$57,753.94
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $57,269

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State