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PEDIATRIC FAMILY M.D. P.C.

PEDIATRIC FAMILY M.D. P.C.

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Company Details

Name:	PEDIATRIC FAMILY M.D. P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	31 Oct 1994 (31 years ago)
Entity Number:	1864056
ZIP code:	11372
County:	Queens
Place of Formation:	New York
Address:	37-52 82ND STREET, 2ND FLOOR, JACKSON HGTS, NY, United States, 11372
Principal Address:	32-30 156TH STREET, FLUSHING, NY, United States, 11354

Contact Details

Phone +1 718-779-5855

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
HECTOR A VALENCIA	DOS Process Agent	37-52 82ND STREET, 2ND FLOOR, JACKSON HGTS, NY, United States, 11372

Chief Executive Officer

Name	Role	Address
HECTOR A VALENCIA	Chief Executive Officer	37-52 82ND ST, 2ND FL, JACKSON HEIGHTS, NY, United States, 11372

National Provider Identifier

NPI Number:

1104975796

Link:

View on NPI website

Authorized Person:

Name:

HECTOR ANTONIO VALENCIA

Role:

OWNER

Phone:

7187795855

Taxonomy:

Selected Taxonomy:

208000000X - Pediatrics Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-779-5855

Fax:

7187791053

History

Start date	End date	Type	Value
2004-11-24	2012-10-16	Address	32-30 156TH STREET, FLUSHING, NY, 11354, USA (Type of address: Chief Executive Officer)
2004-11-24	2014-10-22	Address	37-52 82ND STREET, 2ND FLOOR, JACKSON HGTS, NY, 11372, USA (Type of address: Service of Process)
1997-01-06	2004-11-24	Address	45-59 168TH ST, FLUSHING, NY, 11358, USA (Type of address: Chief Executive Officer)
1997-01-06	2004-11-24	Address	45-59 168TH ST, FLUSHING, NY, 11358, USA (Type of address: Principal Executive Office)
1994-10-31	2004-11-24	Address	37-49 82ND STREET, 2ND FLOOR, JACKSON HEIGHTS, NY, 11372, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
141022006215	2014-10-22	BIENNIAL STATEMENT	2014-10-01
121016002345	2012-10-16	BIENNIAL STATEMENT	2012-10-01
101014002680	2010-10-14	BIENNIAL STATEMENT	2010-10-01
080924002349	2008-09-24	BIENNIAL STATEMENT	2008-10-01
041124002599	2004-11-24	BIENNIAL STATEMENT	2004-10-01

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

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:

146400.00

Total Face Value Of Loan:

146400.00

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$146,400

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$146,400

Race:

Unanswered

Ethnicity:

Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$147,518.33

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $146,400