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ADENA SHOSHAN, PSY.D., P.C.

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Company Details

Name: ADENA SHOSHAN, PSY.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Aug 2012 (13 years ago)
Entity Number: 4281253
ZIP code: 14450
County: Monroe
Place of Formation: New York
Address: 27 Aldwick Rise, Fairport, NY, United States, 14450

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ADENA SHOSHAN PSYD DOS Process Agent 27 Aldwick Rise, Fairport, NY, United States, 14450

Chief Executive Officer

Name Role Address
ADENA E. SHOSHAN Chief Executive Officer 27 ALDWICK RISE, FAIRPORT, NY, United States, 14450

National Provider Identifier

NPI Number:
1821500174

Authorized Person:

Name:
DR. ADENA SHOSHAN
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5852864487

History

Start date End date Type Value
2012-08-09 2024-05-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-08-09 2024-05-02 Address 160 ALLENS CREEK ROAD, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240502002988 2024-05-02 BIENNIAL STATEMENT 2024-05-02
120809000285 2012-08-09 CERTIFICATE OF INCORPORATION 2012-08-09

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$15,320
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,320
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$15,432.91
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $9,882
Utilities: $0
Mortgage Interest: $0
Rent: $3,685
Refinance EIDL: $0
Healthcare: $1753
Debt Interest: $0

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State