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THEODORE DIKTABAN, M.D., PLLC

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Company Details

Name: THEODORE DIKTABAN, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Mar 2011 (14 years ago)
Entity Number: 4073662
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 315 E. 69TH STREET, APT. 11BC, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 315 E. 69TH STREET, APT. 11BC, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1922391697

Authorized Person:

Name:
MS. MELISSA LEONE
Role:
OFFICE MANAGAER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170313006097 2017-03-13 BIENNIAL STATEMENT 2017-03-01
150410006073 2015-04-10 BIENNIAL STATEMENT 2015-03-01
130417006350 2013-04-17 BIENNIAL STATEMENT 2013-03-01
110718000749 2011-07-18 CERTIFICATE OF PUBLICATION 2011-07-18
110328000750 2011-03-28 ARTICLES OF ORGANIZATION 2011-03-28

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$12,633
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,633
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$12,827.3
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $10,106.66
Rent: $2,526.34

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State