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ANDREW C. PRZYBYLA, M.D., P.C.

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Company Details

Name: ANDREW C. PRZYBYLA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Sep 1981 (44 years ago)
Entity Number: 723890
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 5 CRAFTON AVENUE, NEW YORK, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
A.C. PRZYBYLA MD Chief Executive Officer 5 CRAFTON AVENUE, NEW YORK, NY, United States, 10314

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5 CRAFTON AVENUE, NEW YORK, NY, United States, 10314

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
718-761-1061
Contact Person:
ANDREW C. PRZYBYLA PRZYBYLA
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P0404454

Unique Entity ID

Unique Entity ID:
DU5DUQZMUJC1
CAGE Code:
3H5F8
UEI Expiration Date:
2025-11-11

Business Information

Activation Date:
2024-11-11
Initial Registration Date:
2003-09-10

Commercial and government entity program

CAGE number:
3H5F8
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-11
CAGE Expiration:
2029-11-11
SAM Expiration:
2025-11-11

Contact Information

POC:
ANDREW C. PRZYBYLA PRZYBYLA

National Provider Identifier

NPI Number:
1437468014

Authorized Person:

Name:
DR. ANDREW C PRZYBYLA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
7186982220

History

Start date End date Type Value
1981-09-22 2022-12-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1981-09-22 1993-04-29 Address 5 CRAFTON AVE., STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150910006272 2015-09-10 BIENNIAL STATEMENT 2015-09-01
130909006890 2013-09-09 BIENNIAL STATEMENT 2013-09-01
110919002047 2011-09-19 BIENNIAL STATEMENT 2011-09-01
090828002550 2009-08-28 BIENNIAL STATEMENT 2009-09-01
070912002024 2007-09-12 BIENNIAL STATEMENT 2007-09-01

USAspending Awards / Contracts

Procurement Instrument Identifier:
28321325FAC021009
Award Or Idv Flag:
AWARD
Award Type:
BPA CALL
Action Obligation:
40604.00
Base And Exercised Options Value:
40604.00
Base And All Options Value:
40604.00
Awarding Agency Name:
Social Security Administration
Performance Start Date:
2025-04-02
Description:
THIS IS A NEW BLANKET PURCHASE AGREEMENT (BPA) CALL ORDER FOR THE REGIONAL MEDICAL CONSULTANT (RMC) TO PERFORM 400 INDEPENDENT CASE REVIEWS.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
28321324FAC021014
Award Or Idv Flag:
AWARD
Award Type:
BPA CALL
Action Obligation:
98840.00
Base And Exercised Options Value:
98840.00
Base And All Options Value:
98840.00
Awarding Agency Name:
Social Security Administration
Performance Start Date:
2024-03-28
Description:
CALL ORDER FOR REGIONAL MEDICAL CONSULTANT (RMC) SERVICES FOR INDEPENDENT CASE REVIEWS. FOR NEW YORK, NEW YORK HEARING OFFICE. MODIFICATION P00001 TO 28321324FAC021017 TO PROVIDE 1,000 ADDITIONAL CASE REVIEWS.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q526: MEDICAL- MEDICAL/PSYCHIATRIC CONSULTATION
Procurement Instrument Identifier:
28321323FAC021003
Award Or Idv Flag:
AWARD
Award Type:
BPA CALL
Action Obligation:
184780.80
Base And Exercised Options Value:
184780.80
Base And All Options Value:
14724.72
Awarding Agency Name:
Social Security Administration
Performance Start Date:
2023-03-22
Description:
MODIFICATION TO CORRECT MOD P00001 RECORD.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q526: MEDICAL- MEDICAL/PSYCHIATRIC CONSULTATION

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$8,750
Date Approved:
2020-05-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,750
Race:
White
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$8,835.99
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $8,750

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State