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CITY CARE FAMILY PRACTICE, P.C.

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Company Details

Name: CITY CARE FAMILY PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jun 1996 (29 years ago)
Entity Number: 2039630
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 461 PARK AVENUE S, FL 9, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CITY CARE FAMILY PRACTICE, P.C. DOS Process Agent 461 PARK AVENUE S, FL 9, NEW YORK, NY, United States, 10016

Chief Executive Officer

Name Role Address
BRUCE CHUNG Chief Executive Officer 461 PARK AVENUE S, FL 9, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1871691444

Authorized Person:

Name:
MS. KEIKO HONDA
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2125451919

Form 5500 Series

Employer Identification Number (EIN):
133894919
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:

History

Start date End date Type Value
2010-06-24 2020-06-01 Address 160 EAST 32ND ST / SUITE 102, NEW YORK, NY, 10016, USA (Type of address: Principal Executive Office)
2010-06-24 2020-06-01 Address 160 EAST 32ND ST / SUITE 102, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
2010-06-24 2020-06-01 Address 160 EAST 32ND ST / SUITE 102, NEW YORK, NY, 10016, USA (Type of address: Service of Process)
1998-06-16 2010-06-24 Address 160 EAST 32ND ST, SUITE 102, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
1998-06-16 2010-06-24 Address 160 EAST 32ND ST, SUITE 102, NEW YORK, NY, 10016, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200601061197 2020-06-01 BIENNIAL STATEMENT 2020-06-01
180611006341 2018-06-11 BIENNIAL STATEMENT 2018-06-01
160601006895 2016-06-01 BIENNIAL STATEMENT 2016-06-01
140610007067 2014-06-10 BIENNIAL STATEMENT 2014-06-01
120611006521 2012-06-11 BIENNIAL STATEMENT 2012-06-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State