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LONG ISLAND MEDICAL OF AMITYVILLE P.C.

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Company Details

Name: LONG ISLAND MEDICAL OF AMITYVILLE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Mar 2017 (8 years ago)
Entity Number: 5112253
ZIP code: 11704
County: Suffolk
Place of Formation: New York
Address: 393 SUNRISE HIGHWAY STE # 2, WEST BABYLON, NY, United States, 11704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ALAAELDIN MOAWAD DOS Process Agent 393 SUNRISE HIGHWAY STE # 2, WEST BABYLON, NY, United States, 11704

National Provider Identifier

NPI Number:
1013420306

Authorized Person:

Name:
DR. ALAAELDIN F MOAWAD
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
6315045756

Filings

Filing Number Date Filed Type Effective Date
170331000140 2017-03-31 CERTIFICATE OF INCORPORATION 2017-03-31

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$16,200
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$13,928.32
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $16,200

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State