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MICHELLE GERWIN CARLSON, M.D., P.C.

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Company Details

Name: MICHELLE GERWIN CARLSON, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Sep 1995 (30 years ago)
Entity Number: 1959162
ZIP code: 10021
County: New York
Place of Formation: New York
Principal Address: 1045 PARK AVE, 9TH FLR, NEW YORK, NY, United States, 10021
Address: 523 EAST 72ND STREET, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MICHELLE GERWIN CARLSON Chief Executive Officer 523 EAST 72ND STREET, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
MICHELLE GERWIN CARLSON DOS Process Agent 523 EAST 72ND STREET, NEW YORK, NY, United States, 10021

Links between entities

Type:
Headquarter of
Company Number:
F22000001742
State:
FLORIDA

National Provider Identifier

NPI Number:
1013538909
Certification Date:
2020-05-01

Authorized Person:

Name:
DR. MICHELLE G. CARLSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207XS0106X - Orthopaedic Hand Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2127728813

Form 5500 Series

Employer Identification Number (EIN):
133855608
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2024-11-21 2024-11-21 Address 523 EAST 72ND STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)
2022-03-02 2024-11-21 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-01-27 2022-03-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1999-09-30 2013-09-09 Address 523 EAST 72ND STREET, NEW YORK, NY, 10021, USA (Type of address: Principal Executive Office)
1999-09-30 2024-11-21 Address 523 EAST 72ND STREET, NEW YORK, NY, 10021, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
241121001497 2024-11-21 BIENNIAL STATEMENT 2024-11-21
220214003364 2022-02-14 BIENNIAL STATEMENT 2022-02-14
130909007380 2013-09-09 BIENNIAL STATEMENT 2013-09-01
111012002324 2011-10-12 BIENNIAL STATEMENT 2011-09-01
090930002139 2009-09-30 BIENNIAL STATEMENT 2009-09-01

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$149,600
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$151,440.91
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $149,600
Jobs Reported:
5
Initial Approval Amount:
$149,600
Date Approved:
2021-03-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$149,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$150,406.18
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $149,598

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State