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WESTFIELD FAMILY PHYSICIANS, P.C.

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Company Details

Name: WESTFIELD FAMILY PHYSICIANS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Dec 1990 (35 years ago)
Entity Number: 1497478
ZIP code: 14787
County: Chautauqua
Place of Formation: New York
Address: 138 EAST MAIN STREET, PO BOX 10, WESTFIELD, NY, United States, 14787
Principal Address: 138 EAST MAIN STREET, WESTFIELD, NY, United States, 14787

Contact Details

Phone +1 716-761-6144

Phone +1 716-326-4678

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DONALD F BRAUTIGAM, MD Chief Executive Officer 138 EAST MAIN STREET, PO BOX 10, WESTFIELD, NY, United States, 14787

DOS Process Agent

Name Role Address
WESTFIELD FAMILY PHYSICIANS, P.C. DOS Process Agent 138 EAST MAIN STREET, PO BOX 10, WESTFIELD, NY, United States, 14787

National Provider Identifier

NPI Number:
1568495877

Authorized Person:

Name:
DR. DONALD FRANK BRAUTIGAM
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
7163264914

Form 5500 Series

Employer Identification Number (EIN):
161385727
Plan Year:
2021
Number Of Participants:
59
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
84
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
78
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
78
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
78
Sponsors Telephone Number:

History

Start date End date Type Value
2011-01-03 2018-12-03 Address 138 EAST MAIN STREET, PO BOX 10, WESTFIELD, NY, 14787, USA (Type of address: Service of Process)
2005-01-19 2011-01-03 Address 138 EAST MAIN ST, PO BOX 10, WESTFIELD, NY, 14787, USA (Type of address: Service of Process)
2005-01-19 2011-01-03 Address 138 EAST MAIN ST, PO BOX 10, WESTFIELD, NY, 14787, USA (Type of address: Chief Executive Officer)
2002-12-03 2005-01-19 Address 138 EAST MAIN ST, WESTFIELD, NY, 14787, USA (Type of address: Chief Executive Officer)
2002-12-03 2005-01-19 Address 138 EAST MAIN ST, WESTFIELD, NY, 14787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201209060852 2020-12-09 BIENNIAL STATEMENT 2020-12-01
181203006305 2018-12-03 BIENNIAL STATEMENT 2018-12-01
161207006803 2016-12-07 BIENNIAL STATEMENT 2016-12-01
141201007445 2014-12-01 BIENNIAL STATEMENT 2014-12-01
121210006447 2012-12-10 BIENNIAL STATEMENT 2012-12-01

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
677700
Current Approval Amount:
677700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
682713.12

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State