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PARK SOUTH MEDICAL, PLLC

PARK SOUTH MEDICAL, PLLC

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Company Details

Name:	PARK SOUTH MEDICAL, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	24 Dec 1997 (28 years ago)
Entity Number:	2211819
ZIP code:	10462
County:	Bronx
Place of Formation:	New York
Address:	1545 UNIONPORT ROAD, BRONX, NY, United States, 10462

Contact Details

Phone +1 718-892-2201

DOS Process Agent

Name	Role	Address
THE LLC	DOS Process Agent	1545 UNIONPORT ROAD, BRONX, NY, United States, 10462

National Provider Identifier

NPI Number:

1427252626

Link:

View on NPI website

Authorized Person:

Name:

DR. MONTE EZRATTY

Role:

OWNER

Phone:

7188922201

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-892-2201

Fax:

7188289663

Form 5500 Series

Employer Identification Number (EIN):

133441043

Plan Year:

2023

Number Of Participants:

15

Sponsors Telephone Number:

7188922201

File:

Plan Year:

2022

Number Of Participants:

14

Sponsors Telephone Number:

7188922201

File:

Plan Year:

2021

Number Of Participants:

13

Sponsors Telephone Number:

7188922201

File:

Plan Year:

2020

Number Of Participants:

13

Sponsors Telephone Number:

7188922201

File:

Plan Year:

2019

Number Of Participants:

13

Sponsors Telephone Number:

7188922201

File:

Filings

Filing Number	Date Filed	Type	Effective Date
980617000367	1998-06-17	AFFIDAVIT OF PUBLICATION	1998-06-17
980617000368	1998-06-17	AFFIDAVIT OF PUBLICATION	1998-06-17
971224000456	1997-12-24	ARTICLES OF ORGANIZATION	1997-12-24

USAspending Awards / Financial Assistance

Date:

2020-05-02

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:

235935.00

Total Face Value Of Loan:

235935.00

Paycheck Protection Program

Jobs Reported:

21

Initial Approval Amount:

$235,935

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$235,935

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$237,489.29

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Utilities: $1,800
Rent: $14,300
Healthcare: $3900
Debt Interest: $215,935

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State