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SOUTH SHORE PULMONARY MEDICINE, P.C.

SOUTH SHORE PULMONARY MEDICINE, P.C.

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Company Details

Name:	SOUTH SHORE PULMONARY MEDICINE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	20 Nov 1980 (45 years ago)
Entity Number:	664345
ZIP code:	11559
County:	Nassau
Place of Formation:	New York
Address:	360 CENTRAL AVENUE, LAWRENCE, NY, United States, 11559
Principal Address:	360 CENTRAL AVE, SUITE 113, LAWRENCE, NY, United States, 11559

Contact Details

Phone +1 718-945-6350

Phone +1 516-374-9300

Phone +1 516-623-4000

Phone +1 718-670-5000

Phone +1 718-470-7000

Phone +1 516-231-5864

Phone +1 516-766-3343

Phone +1 516-256-6000

Phone +1 718-670-1231

Phone +1 718-734-2000

Phone +1 516-569-6966

Phone +1 718-471-5000

Phone +1 718-868-7000

Phone +1 718-945-4600

Phone +1 718-544-2024

Phone +1 516-632-2030

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
NATHAN ROTHMAN	Chief Executive Officer	360 CENTRAL AVE, SUITE 113, LAWRENCE, NY, United States, 11559

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	360 CENTRAL AVENUE, LAWRENCE, NY, United States, 11559

National Provider Identifier

NPI Number:

1750451001

Link:

View on NPI website

Authorized Person:

Name:

NATHAN IRA ROTHMAN

Role:

PARTNER

Phone:

5165696966

Taxonomy:

Selected Taxonomy:

207RP1001X - Pulmonary Disease Physician

Is Primary:

Yes

Contacts:

Phone:

+1 516-569-6966

Fax:

5165694026

Form 5500 Series

Employer Identification Number (EIN):

112547199

Plan Year:

2024

Number Of Participants:

12

Sponsors Telephone Number:

5165696966

File:

Plan Year:

2023

Number Of Participants:

16

Sponsors Telephone Number:

5165696966

File:

Plan Year:

2022

Number Of Participants:

15

Sponsors Telephone Number:

5165696966

File:

Plan Year:

2021

Number Of Participants:

16

Sponsors Telephone Number:

5165696966

File:

Plan Year:

2020

Number Of Participants:

18

Sponsors Telephone Number:

5165696966

File:

History

Start date	End date	Type	Value
1993-02-19	2014-11-07	Address	360 CENTRAL AVE, LAWRENCE, NY, 11559, USA (Type of address: Chief Executive Officer)
1993-02-19	2014-11-07	Address	360 CENTRAL AVE, LAWRENCE, NY, 11559, USA (Type of address: Principal Executive Office)
1980-11-20	1994-03-01	Address	360 CENTRAL AVE., LAWRENCE, NY, 11559, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
141230000515	2014-12-30	CERTIFICATE OF AMENDMENT	2014-12-30
141107006490	2014-11-07	BIENNIAL STATEMENT	2014-11-01
101104003434	2010-11-04	BIENNIAL STATEMENT	2010-11-01
081112002785	2008-11-12	BIENNIAL STATEMENT	2008-11-01
061106002836	2006-11-06	BIENNIAL STATEMENT	2006-11-01

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

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:

177695.00

Total Face Value Of Loan:

177695.00

Paycheck Protection Program

Jobs Reported:

16

Initial Approval Amount:

$177,695

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$177,695

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$180,022.07

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $177,695

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State