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  5. MICHAEL C. BURNETT, M.D., PLLC

MICHAEL C. BURNETT, M.D., PLLC

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Company Details

Name: MICHAEL C. BURNETT, M.D., PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Aug 2014 (11 years ago)
Entity Number: 4622493
ZIP code: 11042
County: New York
Place of Formation: New York
Address: 1983 MARCUS AVE, SUITE 106, LAKE SUCCESS, NY, United States, 11042

DOS Process Agent

Name Role Address
C/O RON LEBOW, ESQ. DOS Process Agent 1983 MARCUS AVE, SUITE 106, LAKE SUCCESS, NY, United States, 11042

National Provider Identifier

NPI Number:
1093116535
Link:
View on NPI website

Authorized Person:

Name:
MICHAEL CHARLES BURNETT
Role:
PHYSICIAN
Phone:
2126448350

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Phone:
+1 212-644-8350
Fax:
2126448356
Fax:
2128448356

Form 5500 Series

Employer Identification Number (EIN):
471619924
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
9173063357
File:
View File
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
9173063357
File:
View File
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
9173063357
File:
View File

Filings

Filing Number Date Filed Type Effective Date
141113000208 2014-11-13 CERTIFICATE OF PUBLICATION 2014-11-13
140815000452 2014-08-15 ARTICLES OF ORGANIZATION 2014-08-15

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$66,622
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,622
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$66,965.15
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $66,621
Jobs Reported:
3
Initial Approval Amount:
$62,800
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$62,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$63,474.45
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $62,800

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Related by address

1983 MARCUS AVE, SUITE 106, LAKE SUCCESS, NY, United States, 11042

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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