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MARTIN PERLIN, M.D., P.C.

MARTIN PERLIN, M.D., P.C.

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Company Details

Name:	MARTIN PERLIN, M.D., P.C.
Jurisdiction:	New York
Legal type:	FOREIGN PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	13 Jan 2020 (6 years ago)
Branch of:	MARTIN PERLIN, M.D., P.C., Connecticut (Company Number 0657546)
Entity Number:	5687306
ZIP code:	10549
County:	Westchester
Place of Formation:	Connecticut
Address:	487 EAST MAIN STREET, SUITE #123, MOUNT KISCO, NY, United States, 10549

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	487 EAST MAIN STREET, SUITE #123, MOUNT KISCO, NY, United States, 10549

National Provider Identifier

NPI Number:

1780702852

Certification Date:

2022-03-04

Link:

View on NPI website

Authorized Person:

Name:

MARTIN PERLIN

Role:

PHYSICIAN

Phone:

2038387205

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Selected Taxonomy:

261QM2500X - Medical Specialty Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 203-856-0185

Fax:

2038665594

Filings

Filing Number	Date Filed	Type	Effective Date
200113000584	2020-01-13	APPLICATION OF AUTHORITY	2020-01-13

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$20,833

Date Approved:

2020-05-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$20,833

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$20,984.25

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $20,833