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RICHARD A. FAZIO MD, P.C.

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Company Details

Name: RICHARD A. FAZIO MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Jun 1993 (32 years ago)
Entity Number: 1733279
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 78 TODT HILL ROAD, STATEN ISLAND, NY, United States, 10314
Principal Address: 82 JOHANNA LN, STATEN ISLAND, NY, United States, 10309

Contact Details

Phone +1 718-748-2110

Phone +1 718-289-7900

Phone +1 718-818-1234

Phone +1 718-448-1122

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O THE CORPORATION DOS Process Agent 78 TODT HILL ROAD, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
RICHARD A FAZIO Chief Executive Officer 82 JOHANNA LN, STATEN ISLAND, NY, United States, 10309

National Provider Identifier

NPI Number:
1730228370

Authorized Person:

Name:
DR. RICHARD A FAZIO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
7187481666

Filings

Filing Number Date Filed Type Effective Date
130712002015 2013-07-12 BIENNIAL STATEMENT 2013-06-01
110630002853 2011-06-30 BIENNIAL STATEMENT 2011-06-01
090707003157 2009-07-07 BIENNIAL STATEMENT 2009-06-01
050811002704 2005-08-11 BIENNIAL STATEMENT 2005-06-01
030701002288 2003-07-01 BIENNIAL STATEMENT 2003-06-01

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
124700.00
Total Face Value Of Loan:
124700.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
124700
Current Approval Amount:
124700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
126646.71

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State