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UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP

Company Details

Name: UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 10 Dec 1996 (28 years ago) (Companies founded in December 1996)
Entity Number: 2091276
ZIP code: 13210 (Companies in Blank, 13210)
County: Blank
Place of Formation: New York
Address: UNIVERSITY HOSPITAL, 750 EAST ADAMS STREET, SYRACUSE, NY, United States, 13210
Principal Address: 750 EAST ADAMS ST., SYRACUSE, NY, United States, 13210

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
JLPREHN5RLT1 2025-01-17 750 EAST ADAMS ST, SYRACUSE, NY, 13210, 2306, USA 750 EAST ADAMS ST, SYRACUSE, NY, 13210, USA

Business Information

Congressional District 22
State/Country of Incorporation NY, USA
Activation Date 2024-02-01
Initial Registration Date 2008-03-12
Entity Start Date 1967-05-26
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621111
Product and Service Codes Q514

Points of Contacts

Electronic Business
Title PRIMARY POC
Name ROBIN BROZAK
Role MRS
Address 750 E. ADAMS STREET, OTOLARYNGOLOGY PGM CWB 242, SYRACUSE, NY, 13066, 1834, USA
Title ALTERNATE POC
Name ROBIN BROZAK
Address 750 E. ADAMS STREET, OTOLARYNGOLOGY PGM CWB 242, SYRACUSE, NY, 13066, 1834, USA
Government Business
Title PRIMARY POC
Name ROBIN BROZAK
Role MRS.
Address 750 E. ADAMS STREET, OTOLARYNGOLOGY PGM CWB 242, SYRACUSE, NY, 13066, 1834, USA
Title ALTERNATE POC
Name ROBIN BROZAK
Address 750 E. ADAMS STREET, OTOLARYNGOLOGY PGM CWB 242, SYRACUSE, NY, 13066, 1834, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
50QL6 Active Non-Manufacturer 2008-03-13 2024-03-10 2029-02-01 2025-01-17

Contact Information

POC ROBIN BROZAK
Phone +1 315-464-7281
Address 750 EAST ADAMS ST, SYRACUSE, ONONDAGA, NY, 13210 2306, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2023 166076901 2024-10-14 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing AMAR SURYADEVARA
Valid signature Filed with authorized/valid electronic signature
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2022 166076901 2023-10-13 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing AMAR SURYADEVARA
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2021 166076901 2022-09-23 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2022-09-23
Name of individual signing AMAR SURYADEVARA
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2020 166076901 2021-10-14 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing RICHARD KELLEY
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2019 166076901 2020-10-14 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing RICHARD KELLEY
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2018 166076901 2019-10-13 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2019-10-13
Name of individual signing RICHARD KELLEY
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2017 166076901 2018-10-09 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2018-10-09
Name of individual signing CHARLES WOODS MD
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2016 166076901 2017-10-12 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing CHARLES WOODS MD
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2015 166076901 2016-10-13 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing CHARLES WOODS MD
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP PROFIT SHARING PLAN AND TRUST 2014 166076901 2015-10-08 UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK, LLP 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621399
Sponsor’s telephone number 3154644633
Plan sponsor’s address 750 EAST ADAMS STREET, SYRACUSE, NY, 13210

Signature of

Role Plan administrator
Date 2015-10-08
Name of individual signing CHARLES WOODS, MD

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent UNIVERSITY HOSPITAL, 750 EAST ADAMS STREET, SYRACUSE, NY, United States, 13210

Filings

Filing Number Date Filed Type Effective Date
161121002011 2016-11-21 FIVE YEAR STATEMENT 2016-12-01
120105002253 2012-01-05 FIVE YEAR STATEMENT 2011-12-01
061124002517 2006-11-24 FIVE YEAR STATEMENT 2006-12-01
011207002268 2001-12-07 FIVE YEAR STATEMENT 2001-12-01
970212000574 1997-02-12 AFFIDAVIT OF PUBLICATION 1997-02-12
970212000570 1997-02-12 AFFIDAVIT OF PUBLICATION 1997-02-12
961210000095 1996-12-10 NOTICE OF REGISTRATION 1996-12-10

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD V528C84258 2008-07-01 2009-06-30 2010-06-30
Unique Award Key CONT_AWD_V528C84258_3600_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: OTOLARYNGOLOGY SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
DO AWARD V528C84064 2007-10-01 2008-06-30 2008-06-30
Unique Award Key CONT_AWD_V528C84064_3600_VA528P0009_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: OTOLARYNGOLOGY SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
No data IDV VA528P0368 2008-10-01 No data No data
Unique Award Key CONT_IDV_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: OTOLARYNGOLOGY SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
DO AWARD VA528C94090 2008-10-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA528C94090_3600_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
DO AWARD VA528C04068 2010-09-24 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA528C04068_3600_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
DO AWARD VA528C14067 2011-04-06 2011-06-30 2011-06-30
Unique Award Key CONT_AWD_VA528C14067_3600_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title ENT SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: OTOLARYNGOLOGY SERVICES

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
DO AWARD VA52812J0249 2012-07-05 2012-09-30 2014-12-31
Unique Award Key CONT_AWD_VA52812J0249_3600_VA52812D0001_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CT - ENT SERVICES AT THE SYRACUSE VAMC
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: MEDICAL- OTOLARYNGOLOGY

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES OF AMERICA, 750 EAST ADAMS ST, SYRACUSE, ONONDAGA, NEW YORK, 13210
DO AWARD VA52812J0052 2012-03-29 2011-12-31 2011-12-31
Unique Award Key CONT_AWD_VA52812J0052_3600_VA528P0368_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title CT - ENT SERVICES, SYRACUSE VA
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: MEDICAL- OTOLARYNGOLOGY

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, 132102342
No data IDV VA52812D0001 2012-01-01 No data No data
Unique Award Key CONT_IDV_VA52812D0001_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title OTOLARYNGOLOGY SERVICES AT THE SYRACUSE VA MEDICAL CENTER
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: MEDICAL- OTOLARYNGOLOGY

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Legacy DUNS 107154247
Recipient Address UNITED STATES OF AMERICA, 750 EAST ADAMS ST, SYRACUSE, ONONDAGA, NEW YORK, 13210
DEFINITIVE CONTRACT AWARD 36C24222C0063 2022-04-01 2027-03-31 2027-03-31
Unique Award Key CONT_AWD_36C24222C0063_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 706761.79
Current Award Amount 706761.79
Potential Award Amount 1680171.15

Description

Title UPDATE KEY PERSONNEL. AFFILIATE AGREEMENT FOR OTOLARGYNGOLOGY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q514: MEDICAL- OTOLARYNGOLOGY

Recipient Details

Recipient UNIVERSITY OTOLARYNGOLOGY ASSOCIATES OF CENTRAL NEW YORK LLP
UEI JLPREHN5RLT1
Recipient Address UNITED STATES, 750 EAST ADAMS ST, SYRACUSE, ONONDAGA, NEW YORK, 13210

Date of last update: 12 Nov 2024

Sources: New York Secretary of State