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PRATIBHA BANSAL, M.D., P.C.

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Company Details

Name: PRATIBHA BANSAL, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 May 1995 (30 years ago)
Entity Number: 1917830
ZIP code: 14031
County: Erie
Place of Formation: New York
Principal Address: 9707 THE PINES, CLARENCE, NY, United States, 10431
Address: 9707 THE PINES, CLARENCE, NY, United States, 14031

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PRATIBHA BANSAL, MD Chief Executive Officer 1515 KENSINGTON AVE, BUFFALO, NY, United States, 14215

DOS Process Agent

Name Role Address
PRATIBHA BANSAL MD DOS Process Agent 9707 THE PINES, CLARENCE, NY, United States, 14031

National Provider Identifier

NPI Number:
1659531093

Authorized Person:

Name:
MRS. MIRIAM A SHAPIRO
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2001-05-23 2011-05-17 Address 415 TREMONT ST., PO BOX 750, NORTH TONAWANDA, NY, 14120, 0750, USA (Type of address: Chief Executive Officer)
1997-08-28 2001-05-23 Address MAPLE NORTH FOREST PLAZA, 716 MAPLE RD, WILLIAMSVILLE, NY, 14221, USA (Type of address: Chief Executive Officer)
1995-05-01 1997-08-28 Address MAPLE NORTH FOREST PLAZA, 716 MAPLE RD., WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130522006023 2013-05-22 BIENNIAL STATEMENT 2013-05-01
110517003125 2011-05-17 BIENNIAL STATEMENT 2011-05-01
090507003156 2009-05-07 BIENNIAL STATEMENT 2009-05-01
070525002049 2007-05-25 BIENNIAL STATEMENT 2007-05-01
031210002758 2003-12-10 BIENNIAL STATEMENT 2003-05-01

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$26,400
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$26,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$26,591.67
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $26,000
Utilities: $400

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State