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URBAN FAMILY PRACTICE, P.C.

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Company Details

Name: URBAN FAMILY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Dec 1995 (30 years ago)
Entity Number: 1984805
ZIP code: 10528
County: Erie
Place of Formation: New York
Address: 600 MAMARONECK AVENUE #400, HARRISON, NY, United States, 10528
Principal Address: 564 NIAGARA ST, BUFFALO, NY, United States, 14201

Contact Details

Phone +1 716-882-0366

Phone +1 718-469-5500

Phone +1 716-332-3797

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
CORPORATE CREATIONS NETWORK INC. Agent 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528

DOS Process Agent

Name Role Address
C/O CORPORATE CREATIONS NETWORK INC. DOS Process Agent 600 MAMARONECK AVENUE #400, HARRISON, NY, United States, 10528

Chief Executive Officer

Name Role Address
DR RAUL VAZQUEZ MD Chief Executive Officer 564 NIAGARA ST, BUFFALO, NY, United States, 14201

National Provider Identifier

NPI Number:
1649884263
Certification Date:
2020-09-01

Authorized Person:

Name:
EVA PEREZ
Role:
BILLING PROJECT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7168848096

Form 5500 Series

Employer Identification Number (EIN):
161503664
Plan Year:
2023
Number Of Participants:
75
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
25
Sponsors Telephone Number:

History

Start date End date Type Value
2024-06-04 2024-06-04 Address 564 NIAGARA ST, BUFFALO, NY, 14201, USA (Type of address: Chief Executive Officer)
2024-02-13 2024-02-13 Address 564 NIAGARA ST, BUFFALO, NY, 14201, USA (Type of address: Chief Executive Officer)
2024-02-13 2024-06-04 Address 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528, USA (Type of address: Registered Agent)
2024-02-13 2024-06-04 Address 564 NIAGARA ST, BUFFALO, NY, 14201, USA (Type of address: Chief Executive Officer)
2024-02-13 2024-06-04 Address 600 MAMARONECK AVENUE #400, HARRISON, NY, 10528, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240604001633 2024-06-04 BIENNIAL STATEMENT 2024-06-04
240213000636 2024-02-12 CERTIFICATE OF CHANGE BY ENTITY 2024-02-12
220104003040 2022-01-03 CERTIFICATE OF AMENDMENT 2022-01-03
210701002344 2021-07-01 BIENNIAL STATEMENT 2021-07-01
180315002038 2018-03-15 BIENNIAL STATEMENT 2017-12-01

Paycheck Protection Program

Jobs Reported:
31
Initial Approval Amount:
$360,075
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$360,075
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$362,057.88
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $317,613
Utilities: $0
Mortgage Interest: $0
Rent: $12,500
Refinance EIDL: $0
Healthcare: $29962
Debt Interest: $0

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State