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DAVID A. COLBERT, M.D., P.C.

Company Details

Name: DAVID A. COLBERT, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Aug 1995 (30 years ago)
Entity Number: 1951710
ZIP code: 10003
County: New York
Place of Formation: New York
Address: 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, United States, 10003

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
J P VAN LAERE Chief Executive Officer 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, United States, 10003

DOS Process Agent

Name Role Address
DAVID A. COLBERT M.D. P.C. DOS Process Agent 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, United States, 10003

National Provider Identifier

NPI Number:
1932355732

Authorized Person:

Name:
NANCY FONSECA
Role:
CLAIMS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2126735185

History

Start date End date Type Value
2023-04-20 2023-04-20 Address 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2017-05-30 2023-04-20 Address 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2017-05-30 2023-04-20 Address 119 FIFTH AVENUE, 4TH FLOOR, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2003-08-21 2017-05-30 Address 119 FIFTH AVE / 6TH FL, NEW YORK, NY, 10003, USA (Type of address: Chief Executive Officer)
2003-08-21 2017-05-30 Address 119 FIFTH AVE / 6TH FL, NEW YORK, NY, 10003, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
230420001812 2023-04-20 BIENNIAL STATEMENT 2021-08-01
180905007349 2018-09-05 BIENNIAL STATEMENT 2017-08-01
170530002018 2017-05-30 BIENNIAL STATEMENT 2015-08-01
030821002351 2003-08-21 BIENNIAL STATEMENT 2003-08-01
010926002453 2001-09-26 BIENNIAL STATEMENT 2001-08-01

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
858770.00
Total Face Value Of Loan:
858770.00

Trademarks Section

Serial Number:
77215191
Mark:
NYDG NEW YORK DERMATOLOGY GROUP
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
2007-06-26
Mark Drawing Type:
Illustration: Drawing with word(s)/letter(s)/number(s) in Stylized form
Mark Literal Elements:
NYDG NEW YORK DERMATOLOGY GROUP

Goods And Services

For:
Medical services, namely, dermatology services
First Use:
2005-10-21
International Classes:
044 - Primary Class
Class Status:
Sec. 8 – Entire Registration
Serial Number:
77158958
Mark:
PHYSICIAN'S VITAMIN DEFENSE
Status:
ABANDONED - NO STATEMENT OF USE FILED
Mark Type:
TRADEMARK
Application Filing Date:
2007-04-17
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
PHYSICIAN'S VITAMIN DEFENSE

Goods And Services

For:
Vitamin and mineral supplements; Dietary and nutritional supplements; Herbal supplements
International Classes:
005 - Primary Class
Class Status:
Active

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
858770
Current Approval Amount:
858770
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
870196.41

Date of last update: 14 Mar 2025

Sources: New York Secretary of State