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MEDALLIANCE MEDICAL HEALTH SERVICES, INC.

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Company Details

Name: MEDALLIANCE MEDICAL HEALTH SERVICES, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 08 Jul 1998 (27 years ago)
Entity Number: 2277075
ZIP code: 10458
County: Bronx
Place of Formation: New York
Address: 625 E FORDHAM RD, BRONX, NY, United States, 10458
Principal Address: 66 HOLLOWTREE RD, BIARCLIFF MANOR, NY, United States, 10510

Contact Details

Fax +1 718-933-1900

Phone +1 718-933-1900

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAHIN DANESHVAR Chief Executive Officer 625 E FORDHAM RD, BRONX, NY, United States, 10458

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 625 E FORDHAM RD, BRONX, NY, United States, 10458

National Provider Identifier

NPI Number:
1982243887
Certification Date:
2019-12-26

Authorized Person:

Name:
MARISOL BRAVO
Role:
ADMIN ASSISTANT/ CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7185634039
Fax:
6468694955

History

Start date End date Type Value
2025-04-25 2025-04-25 Address 625 E FORDHAM RD, BRONX, NY, 10458, USA (Type of address: Chief Executive Officer)
2024-11-29 2025-04-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-28 2024-11-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-08-16 2024-10-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-05 2024-08-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250425003369 2025-04-25 BIENNIAL STATEMENT 2025-04-25
100824002430 2010-08-24 BIENNIAL STATEMENT 2010-07-01
080807003701 2008-08-07 BIENNIAL STATEMENT 2008-07-01
060615002379 2006-06-15 BIENNIAL STATEMENT 2006-07-01
020620000806 2002-06-20 CERTIFICATE OF AMENDMENT 2002-06-20

USAspending Awards / Financial Assistance

Date:
2021-02-24
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:
1697467.00
Total Face Value Of Loan:
1697467.00
Date:
2020-04-14
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:
1697467.00
Total Face Value Of Loan:
1697467.00

Paycheck Protection Program

Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1697467
Current Approval Amount:
1697467
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1715950.53

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State