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KINGS PARK PRIMARY MEDICAL CARE, P.C.

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Company Details

Name: KINGS PARK PRIMARY MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 May 1999 (26 years ago)
Entity Number: 2378930
ZIP code: 11754
County: Suffolk
Place of Formation: New York
Address: 65 INDIAN HEAD RD, KINGS PARK, NY, United States, 11754

Contact Details

Phone +1 631-269-0180

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 65 INDIAN HEAD RD, KINGS PARK, NY, United States, 11754

Chief Executive Officer

Name Role Address
DEBRA PINCUS Chief Executive Officer 65 INDIAN HEAD RD, KINGS PARK, NY, United States, 11754

National Provider Identifier

NPI Number:
1073747689

Authorized Person:

Name:
DR. DEBRA PINCUS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6312690178

History

Start date End date Type Value
2001-05-11 2011-06-01 Address 65 INDIAN HEAD RD, KINGS PARK, NY, 11754, USA (Type of address: Chief Executive Officer)
2001-05-11 2011-06-01 Address 65 INDIAN HEAD RD, KINGS PARK, NY, 11754, USA (Type of address: Principal Executive Office)
1999-05-17 2011-06-01 Address 65 INDIAN HEAD ROAD, KINGS PARK, NY, 11754, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130517002413 2013-05-17 BIENNIAL STATEMENT 2013-05-01
110601002072 2011-06-01 BIENNIAL STATEMENT 2011-05-01
090501002184 2009-05-01 BIENNIAL STATEMENT 2009-05-01
070508002779 2007-05-08 BIENNIAL STATEMENT 2007-05-01
050715002610 2005-07-15 BIENNIAL STATEMENT 2005-05-01

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$49,150
Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$49,150
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$33,305.41
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $49,150

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State