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CLAUDIA J. SELGRAD, D.O., P.C.

CLAUDIA J. SELGRAD, D.O., P.C.

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Company Details

Name:	CLAUDIA J. SELGRAD, D.O., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	27 Mar 2012 (13 years ago)
Entity Number:	4222772
ZIP code:	11706
County:	Suffolk
Place of Formation:	New York
Address:	1555 SUNRISE HGWY STE. #6, BAYSHORE, NY, United States, 11706
Principal Address:	1555 SUNRISE HIGHWAY, SUITE 6, BAY SHORE, NY, United States, 11706

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	1555 SUNRISE HGWY STE. #6, BAYSHORE, NY, United States, 11706

Chief Executive Officer

Name	Role	Address
CLAUDIA J SELGRAD, D.O.	Chief Executive Officer	1555 SUNRISE HIGHWAY, SUITE 6, BAY SHORE, NY, United States, 11706

National Provider Identifier

NPI Number:

1487912374

Link:

View on NPI website

Authorized Person:

Name:

CLAUDIA J. SELGRAD

Role:

D.O./OWNER

Phone:

6319680588

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-968-0588

Fax:

6319682848

Form 5500 Series

Employer Identification Number (EIN):

454976211

Plan Year:

2023

Number Of Participants:

8

Sponsors Telephone Number:

6319680588

File:

Plan Year:

2023

Number Of Participants:

5

Sponsors Telephone Number:

6318357141

File:

Plan Year:

2022

Number Of Participants:

8

Sponsors Telephone Number:

6319680588

File:

Plan Year:

2021

Number Of Participants:

10

Sponsors Telephone Number:

6319680588

File:

Plan Year:

2020

Number Of Participants:

8

Sponsors Telephone Number:

6319680588

File:

History

Start date	End date	Type	Value
2025-06-06	2025-06-06	Address	1555 SUNRISE HIGHWAY, SUITE 6, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2024-01-11	2024-01-11	Address	1555 SUNRISE HIGHWAY, SUITE 6, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)
2024-01-11	2025-06-06	Address	1555 SUNRISE HGWY STE. #6, BAYSHORE, NY, 11706, USA (Type of address: Service of Process)
2024-01-11	2025-06-06	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-01-11	2025-06-06	Address	1555 SUNRISE HIGHWAY, SUITE 6, BAY SHORE, NY, 11706, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
250606003028	2025-06-06	CERTIFICATE OF DISSOLUTION-CANCELLATION	2025-06-06
240111002811	2024-01-11	BIENNIAL STATEMENT	2024-01-11
140722002256	2014-07-22	BIENNIAL STATEMENT	2014-03-01
120327000727	2012-03-27	CERTIFICATE OF INCORPORATION	2012-03-27

Paycheck Protection Program

Jobs Reported:

11

Initial Approval Amount:

$98,145

Date Approved:

2020-05-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$98,145

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$98,668.21

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $98,145

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State