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JACQUELINE M. LEWIS, M.D., P.C.

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Company Details

Name: JACQUELINE M. LEWIS, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 1998 (27 years ago)
Entity Number: 2294573
ZIP code: 10550
County: Bronx
Place of Formation: New York
Principal Address: SOUTHERN WESTCHESTER PAIN CTR, 105 STEVENS AVE, SUITE 203, MT VERNON, NY, United States, 10550
Address: 105 STEVENS AVE, SUITE 103, MT VERNON, NY, United States, 10550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 105 STEVENS AVE, SUITE 103, MT VERNON, NY, United States, 10550

Chief Executive Officer

Name Role Address
JACQUELINE M. LEWIS, M.D. Chief Executive Officer 105 STEVENS AVE, SUITE 203, MT VERNON, NY, United States, 10550

National Provider Identifier

NPI Number:
1972706653

Authorized Person:

Name:
JACQUELINE MARGARET LEWIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
9145767337
Fax:
7187457749

History

Start date End date Type Value
1998-09-03 2000-09-11 Address 4313 BRUNER AVENUE, BRONX, NY, 10466, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
000911002682 2000-09-11 BIENNIAL STATEMENT 2000-09-01
980903000110 1998-09-03 CERTIFICATE OF INCORPORATION 1998-09-03

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$25,000
Date Approved:
2021-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$25,129.86
Servicing Lender:
MBE Capital Partners
Use of Proceeds:
Payroll: $25,000

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State