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FONG LU, PHYSICIAN, P.C.

FONG LU, PHYSICIAN, P.C.

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Company Details

Name:	FONG LU, PHYSICIAN, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	19 Jan 2000 (26 years ago)
Entity Number:	2463449
ZIP code:	11030
County:	Nassau
Place of Formation:	New York
Address:	565 PLANDOM ROAD, SUITE 167, MANHASSET, NY, United States, 11030

Contact Details

Phone +1 718-661-9909

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	565 PLANDOM ROAD, SUITE 167, MANHASSET, NY, United States, 11030

National Provider Identifier

NPI Number:

1508162322

Link:

View on NPI website

Authorized Person:

Name:

FONG LU

Role:

PRESIDENT

Phone:

7186619909

Taxonomy:

Selected Taxonomy:

208100000X - Physical Medicine & Rehabilitation Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-661-9909

Fax:

7186610977

Form 5500 Series

Employer Identification Number (EIN):

061569754

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

5163659725

File:

Plan Year:

2023

Number Of Participants:

3

Sponsors Telephone Number:

5163659725

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

5163659725

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

5163659725

File:

Plan Year:

2021

Number Of Participants:

3

Sponsors Telephone Number:

5163659725

File:

Filings

Filing Number	Date Filed	Type	Effective Date
000119000953	2000-01-19	CERTIFICATE OF INCORPORATION	2000-01-19

Paycheck Protection Program

Jobs Reported:

3

Initial Approval Amount:

$48,000

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$48,000

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$48,622.67

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $48,000

Jobs Reported:

3

Initial Approval Amount:

$48,000

Date Approved:

2021-01-27

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$48,000

Race:

Asian

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$48,348

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $47,995
Utilities: $1

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State