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PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC

Company Details

Name: PRIMARY CARE INTERNAL MEDICINE OF ITHACA, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Mar 2017 (8 years ago)
Entity Number: 5100378
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 217 NORTH AURORA STREET, ITHACA, NY, United States, 14850

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 217 NORTH AURORA STREET, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1043736309

Authorized Person:

Name:
ANN R COSTELLO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6072731170

Filings

Filing Number Date Filed Type Effective Date
180809000004 2018-08-09 CERTIFICATE OF PUBLICATION 2018-08-09
170310000638 2017-03-10 ARTICLES OF ORGANIZATION 2017-03-10

USAspending Awards / Financial Assistance

Date:
2020-07-06
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
48100.00
Total Face Value Of Loan:
48100.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
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:
171000.00
Total Face Value Of Loan:
171000.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
171000
Current Approval Amount:
171000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
172531.97

Date of last update: 24 Mar 2025

Sources: New York Secretary of State