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THE WOMEN'S WELLNESS PLACE, P.C.

THE WOMEN'S WELLNESS PLACE, P.C.

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Company Details

Name:	THE WOMEN'S WELLNESS PLACE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	03 Oct 1995 (30 years ago)
Entity Number:	1961715
ZIP code:	13210
County:	Onondaga
Place of Formation:	New York
Address:	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, United States, 13210

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
CHANTELL E. DALPE - FUNG, M.D.	Chief Executive Officer	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, United States, 13210

DOS Process Agent

Name	Role	Address
THE WOMEN'S WELLNESS PLACE, P.C.	DOS Process Agent	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, United States, 13210

National Provider Identifier

NPI Number:

1376617480

Link:

View on NPI website

Authorized Person:

Name:

DR. CHANTELL DALPE-FUNG

Role:

PHYSICIAN

Phone:

3154781158

Taxonomy:

Selected Taxonomy:

207V00000X - Obstetrics & Gynecology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 315-478-1158

Fax:

3154783014

Form 5500 Series

Employer Identification Number (EIN):

161488013

Plan Year:

2023

Number Of Participants:

36

Sponsors Telephone Number:

3154781158

File:

Plan Year:

2022

Number Of Participants:

33

Sponsors Telephone Number:

3154781158

File:

Plan Year:

2021

Number Of Participants:

32

Sponsors Telephone Number:

3154781158

File:

Plan Year:

2020

Number Of Participants:

18

Sponsors Telephone Number:

3154781158

File:

Plan Year:

2019

Number Of Participants:

26

Sponsors Telephone Number:

3154781158

File:

History

Start date	End date	Type	Value
2023-10-17	2023-10-17	Address	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, 13210, 1663, USA (Type of address: Chief Executive Officer)
2023-10-17	2023-10-17	Address	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, 13210, USA (Type of address: Chief Executive Officer)
2015-10-02	2023-10-17	Address	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, 13210, 1663, USA (Type of address: Chief Executive Officer)
2015-10-02	2023-10-17	Address	739 IRVING AVENUE, SUITE 530, SYRACUSE, NY, 13210, 1663, USA (Type of address: Service of Process)
2013-11-13	2015-10-02	Address	739 IRVING AVENUE, SUITE 300, SYRACUSE, NY, 13210, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
231017001700	2023-10-17	BIENNIAL STATEMENT	2023-10-01
211203001322	2021-12-03	BIENNIAL STATEMENT	2021-12-03
191025060214	2019-10-25	BIENNIAL STATEMENT	2019-10-01
171005007377	2017-10-05	BIENNIAL STATEMENT	2017-10-01
151002007158	2015-10-02	BIENNIAL STATEMENT	2015-10-01

USAspending Awards / Financial Assistance

Date:

2020-04-09

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:

279400.00

Total Face Value Of Loan:

279400.00

Paycheck Protection Program

Jobs Reported:

26

Initial Approval Amount:

$279,400

Date Approved:

2020-04-09

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$279,400

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$282,377.72

Servicing Lender:

NBT Bank, National Association

Use of Proceeds:

Payroll: $111,760
Utilities: $83,820
Rent: $83,820

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State