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SAMUEL PARK MD, PLLC

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Company Details

Name: SAMUEL PARK MD, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Sep 2016 (9 years ago)
Entity Number: 5012399
ZIP code: 11501
County: Nassau
Place of Formation: New York
Address: 160 1ST ST UNIT 551, MINEOLA, NY, United States, 11501

Agent

Name Role Address
SAMUEL PARK Agent 160 1ST ST UNIT 551, MINEOLA, NY, 11501

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 160 1ST ST UNIT 551, MINEOLA, NY, United States, 11501

National Provider Identifier

NPI Number:
1225587793

Authorized Person:

Name:
SAMUEL J PARK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2016-09-22 2019-09-24 Address 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200908061409 2020-09-08 BIENNIAL STATEMENT 2020-09-01
190924000712 2019-09-24 CERTIFICATE OF CHANGE 2019-09-24
190722000833 2019-07-22 CERTIFICATE OF CHANGE 2019-07-22
190524060088 2019-05-24 BIENNIAL STATEMENT 2018-09-01
170317000195 2017-03-17 CERTIFICATE OF PUBLICATION 2017-03-17

USAspending Awards / Financial Assistance

Date:
2021-03-16
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:
20833.00
Total Face Value Of Loan:
20833.00
Date:
2020-05-03
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:
20832.00
Total Face Value Of Loan:
20832.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,832
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,832
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,046.69
Servicing Lender:
WebBank
Use of Proceeds:
Payroll: $20,832
Jobs Reported:
1
Initial Approval Amount:
$20,833
Date Approved:
2021-03-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,955.14
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $20,832
Utilities: $1

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State