SHAFI WANI, M.D., P.C.

Company Details

Name:	SHAFI WANI, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	30 Jul 1980 (45 years ago)
Entity Number:	642229
ZIP code:	11793
County:	Suffolk
Place of Formation:	New York
Address:	1400 WANTAGH AVE, WANTAGH, NY, United States, 11793
Principal Address:	2500 NESCONSET HWY, STONY BROOK, NY, United States, 11790

Contact Details

Phone +1 631-689-3005

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
FRED SICA CPA PC	DOS Process Agent	1400 WANTAGH AVE, WANTAGH, NY, United States, 11793

Name	Role	Address
SHAFI WANI	Chief Executive Officer	2500 NESCONSET HWY, STONY BROOK, NY, United States, 11790

Start date	End date	Type	Value
2005-06-17	2006-07-20	Address	2500 NESCONSET HWY, BLDG 15H, STONY BROOK, NY, 11790, USA (Type of address: Chief Executive Officer)
2005-06-17	2006-07-20	Address	2500 NESCONSET HWY, BLDG 15H, STONY BROOK, NY, 11790, USA (Type of address: Principal Executive Office)
1980-07-30	2005-06-17	Address	154 TERRY RD, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
081021002348	2008-10-21	BIENNIAL STATEMENT	2008-07-01
060720002205	2006-07-20	BIENNIAL STATEMENT	2006-07-01
050617002538	2005-06-17	BIENNIAL STATEMENT	2004-07-01
A722730-4	1980-12-12	CERTIFICATE OF AMENDMENT	1980-12-12
A687397-5	1980-07-30	CERTIFICATE OF INCORPORATION	1980-07-30

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5324777306

2020-04-30

0235

PPP

2500 NESCONSET HWY, STONY BROOK, NY, 11790

Loan Status Date	2021-03-10
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	54252
Loan Approval Amount (current)	54252
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	46391
Servicing Lender Name	Manufacturers and Traders Trust Company
Servicing Lender Address	One M & T Plaza, 15th Fl, BUFFALO, NY, 14203
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	STONY BROOK, SUFFOLK, NY, 11790-0001
Project Congressional District	NY-01
Number of Employees	7
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Corporation
Originating Lender ID	15793
Originating Lender Name	Manufacturers and Traders Trust Company
Originating Lender Address	Bridgeport, CT
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	54671.15
Forgiveness Paid Date	2021-02-11

Date of last update: 28 Feb 2025