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LONG ISLAND DENTIST P.C.

LONG ISLAND DENTIST P.C.

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Company Details

Name:	LONG ISLAND DENTIST P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	07 Jan 2016 (10 years ago)
Entity Number:	4874299
ZIP code:	11214
County:	Nassau
Place of Formation:	New York
Address:	2250 86TH ST., 2ND FL, BROOKLYN, NY, United States, 11214

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
MARIYA MALIN	Chief Executive Officer	2250 86TH ST., 2ND FL, BROOKLYN, NY, United States, 11214

DOS Process Agent

Name	Role	Address
MARIYA MALIN	DOS Process Agent	2250 86TH ST., 2ND FL, BROOKLYN, NY, United States, 11214

Links between entities

Type:

Headquarter of

Company Number:

1359049

State:

CONNECTICUT

CONNECTICUT profile:

LONG ISLAND DENTIST P.C. (CT)

National Provider Identifier

NPI Number:

1538521703

Link:

View on NPI website

Authorized Person:

Name:

DR. MARIYA MALIN

Role:

OWNER

Phone:

7183722800

Taxonomy:

Selected Taxonomy:

122300000X - Dentist

Is Primary:

Yes

Contacts:

Phone:

+1 718-372-2800

Fax:

7183721090

Phone:

+1 516-759-0086

Form 5500 Series

Employer Identification Number (EIN):

811034754

Plan Year:

2021

Number Of Participants:

15

Sponsors Telephone Number:

5167590086

File:

Plan Year:

2020

Number Of Participants:

12

Sponsors Telephone Number:

5167590086

File:

Plan Year:

2019

Number Of Participants:

17

Sponsors Telephone Number:

5167590086

File:

Plan Year:

2018

Number Of Participants:

21

Sponsors Telephone Number:

5167590086

File:

Plan Year:

2018

Number Of Participants:

21

Sponsors Telephone Number:

5167590086

History

Start date	End date	Type	Value
2025-07-07	2025-07-07	Address	2250 86TH ST., 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Chief Executive Officer)
2025-07-07	2025-07-07	Address	15 OLD RIDGEFIELD RD, WILTON, CT, 06897, USA (Type of address: Chief Executive Officer)
2020-09-04	2025-07-07	Address	2250 86TH ST., 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Chief Executive Officer)
2020-09-04	2025-07-07	Address	2250 86TH ST., 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Service of Process)
2016-01-07	2020-09-04	Address	2250 86TH ST., 2ND FL, BROOKLYN, NY, 11214, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
250707001024	2025-07-07	BIENNIAL STATEMENT	2025-07-07
200904060653	2020-09-04	BIENNIAL STATEMENT	2020-01-01
160107000178	2016-01-07	CERTIFICATE OF INCORPORATION	2016-01-07

USAspending Awards / Financial Assistance

Date:

2020-05-02

Link:

View on USAspending

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:

55000.00

Total Face Value Of Loan:

55000.00

Paycheck Protection Program

Jobs Reported:

7

Initial Approval Amount:

$55,000

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$55,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$50,451.89

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $50,000
Utilities: $3,000
Debt Interest: $2,000

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State