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LORI PEPPERS, M.D., P.C.

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Company Details

Name: LORI PEPPERS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Aug 2013 (12 years ago)
Entity Number: 4440228
ZIP code: 13203
County: Onondaga
Place of Formation: New York
Address: 112 DEWITT STREET SUITE 102B, SYRACUSE, NY, United States, 13203

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 112 DEWITT STREET SUITE 102B, SYRACUSE, NY, United States, 13203

Chief Executive Officer

Name Role Address
LORI PEPPERS, M.D. Chief Executive Officer 112 DEWITT STREET SUITE 102B, SYRACUSE, NY, United States, 13203

National Provider Identifier

NPI Number:
1154743565

Authorized Person:

Name:
LORI PEPPERS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2015-10-20 2017-08-07 Address 892 E. BRIGHTON AVENUE, SUITE 3, SYRACUSE, NY, 13205, 2542, USA (Type of address: Chief Executive Officer)
2015-10-20 2017-08-07 Address 892 E. BRIGHTON AVENUE, SUITE 3, SYRACUSE, NY, 13205, 2542, USA (Type of address: Principal Executive Office)
2015-10-20 2017-03-06 Address 892 E. BRIGHTON AVENUE, SYRACUSE, NY, 13205, 2542, USA (Type of address: Service of Process)
2013-08-02 2015-10-20 Address 5100 HIGHBRIDGE ST APT. 36-E, FAYETTEVILLE, NY, 13066, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170807006750 2017-08-07 BIENNIAL STATEMENT 2017-08-01
170306000393 2017-03-06 CERTIFICATE OF CHANGE 2017-03-06
151020006100 2015-10-20 BIENNIAL STATEMENT 2015-08-01
130802000491 2013-08-02 CERTIFICATE OF INCORPORATION 2013-08-02

USAspending Awards / Financial Assistance

Date:
2013-08-16
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:
100000.00
Total Face Value Of Loan:
100000.00

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State