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RONALD C. FAGAN, M.D., P.C.

RONALD C. FAGAN, M.D., P.C.

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Company Details

Name:	RONALD C. FAGAN, M.D., P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	27 Dec 1993 (32 years ago)
Entity Number:	1782590
ZIP code:	11735
County:	Nassau
Place of Formation:	New York
Address:	4900 HEMPSTEAD TPKE., FARMINGDALE, NY, United States, 11735

Contact Details

Phone +1 516-752-7000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	4900 HEMPSTEAD TPKE., FARMINGDALE, NY, United States, 11735

Chief Executive Officer

Name	Role	Address
RONALD C FAGAN M.D.	Chief Executive Officer	4900 HEMPSTEAD TPKE., FARMINGDALE, NY, United States, 11735

National Provider Identifier

NPI Number:

1023146198

Link:

View on NPI website

Authorized Person:

Name:

RONALD C FAGAN

Role:

OWNER /PRESIDENT

Phone:

7182244100

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 516-752-7000

Fax:

5165868644

History

Start date	End date	Type	Value
2011-03-10	2019-11-12	Address	1111 RTE 110, EAST FARMINGDALE, NY, 11735, USA (Type of address: Chief Executive Officer)
2011-03-10	2019-11-12	Address	1111 RTE 110, EAST FARMINGDALE, NY, 11735, USA (Type of address: Principal Executive Office)
2011-03-10	2019-11-12	Address	4900HEMPSTEAD TPKE, FARMINGDALE, NY, 11738, USA (Type of address: Service of Process)
2008-01-28	2011-03-10	Address	245-02 HORACE HARDING BLVD, LITTLE NECK, NY, 11362, USA (Type of address: Chief Executive Officer)
2008-01-28	2011-03-10	Address	1111 ROUTE 110, EAST FARMINGDALE, NY, 11735, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
191112002027	2019-11-12	BIENNIAL STATEMENT	2017-12-01
120106002149	2012-01-06	BIENNIAL STATEMENT	2011-12-01
110310002940	2011-03-10	BIENNIAL STATEMENT	2009-12-01
080128003555	2008-01-28	BIENNIAL STATEMENT	2007-12-01
060216003259	2006-02-16	BIENNIAL STATEMENT	2005-12-01

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$219,562

Date Approved:

2021-02-05

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$219,562

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$221,151.87

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $219,557
Utilities: $1