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DR. CLIFFORD ISSACOFF CLINICAL PSYCHOLOGIST, P.C.

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Company Details

Name: DR. CLIFFORD ISSACOFF CLINICAL PSYCHOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Apr 2012 (13 years ago)
Entity Number: 4236756
ZIP code: 11752
County: Suffolk
Place of Formation: New York
Address: P.O. BOX 254, ISLIP TERRACE, NY, United States, 11752
Principal Address: 126 EAST MAIN ST STE 1, EAST ISLIP, NY, United States, 11730

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
CLIFFORD ISSACOFF, PH.D. Chief Executive Officer PO BOX 254, ISLIP TERRACE, NY, United States, 11752

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 254, ISLIP TERRACE, NY, United States, 11752

National Provider Identifier

NPI Number:
1871907451

Authorized Person:

Name:
CLIFFORD ISSACOFF
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
140728002126 2014-07-28 BIENNIAL STATEMENT 2014-04-01
120426000525 2012-04-26 CERTIFICATE OF INCORPORATION 2012-04-26

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$34,235
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,235
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$34,681.46
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $34,232
Utilities: $1
Jobs Reported:
2
Initial Approval Amount:
$13,500
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$13,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$13,668.29
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $13,500

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State