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SUFFOLK PRIMARY HEALTH, LLC

Company Details

Name: SUFFOLK PRIMARY HEALTH, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 17 Apr 2012 (13 years ago)
Entity Number: 4231927
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 1 ARBUTUS PATH, PORT JEFFERSON, NY, United States, 11777

Contact Details

Phone +1 631-208-4460

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1 ARBUTUS PATH, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1174965727

Authorized Person:

Name:
MR. KENNETH GAUL
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6312084462

History

Start date End date Type Value
2023-04-13 2025-05-19 Address 1 ARBUTUS PATH, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)
2020-10-13 2023-04-13 Address 1 ARBUTUS PATH, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)
2012-04-17 2020-10-13 Address 1360 ROUTE 112, PORT JEFFERSON STA., NY, 11776, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250519004132 2025-05-19 BIENNIAL STATEMENT 2025-05-19
230413002797 2023-04-13 BIENNIAL STATEMENT 2022-04-01
201013000489 2020-10-13 CERTIFICATE OF CHANGE 2020-10-13
160830000136 2016-08-30 CERTIFICATE OF AMENDMENT 2016-08-30
120417000249 2012-04-17 ARTICLES OF ORGANIZATION 2012-04-17

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
105600.00
Total Face Value Of Loan:
105600.00
Date:
2013-09-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
850000.00
Total Face Value Of Loan:
850000.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
105600
Current Approval Amount:
105600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
106829.07

Date of last update: 26 Mar 2025

Sources: New York Secretary of State