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FOREST HILLS SURGICAL ASSOCIATES, P.C.

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Company Details

Name: FOREST HILLS SURGICAL ASSOCIATES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Mar 2000 (25 years ago)
Entity Number: 2491750
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 110-41 72ND RD, FOREST HILLS, NY, United States, 11375
Principal Address: 110-42 72ND RD, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 718-206-6000

Phone +1 718-670-5000

Phone +1 718-830-4000

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 110-41 72ND RD, FOREST HILLS, NY, United States, 11375

Agent

Name Role Address
JEFFREY BAUM Agent 240 W. 102ND ST. #31, NEW YORK, NY, 10025

Chief Executive Officer

Name Role Address
MANUEL FAJARDO Chief Executive Officer 110-42 72ND RD, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1912039405

Authorized Person:

Name:
DR. MANUEL A FAJARDO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7185440919

History

Start date End date Type Value
2002-03-05 2014-07-17 Address 100 SOMERSET AVE, GARDEN CITY, NY, 11530, USA (Type of address: Chief Executive Officer)
2002-03-05 2004-03-03 Address 110-42 72ND AVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2000-03-28 2002-03-05 Address 240 W. 102ND ST. #31, NEW YORK, NY, 10025, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140717002188 2014-07-17 BIENNIAL STATEMENT 2014-03-01
120427002828 2012-04-27 BIENNIAL STATEMENT 2012-03-01
100324002952 2010-03-24 BIENNIAL STATEMENT 2010-03-01
080229002898 2008-02-29 BIENNIAL STATEMENT 2008-03-01
060330003323 2006-03-30 BIENNIAL STATEMENT 2006-03-01

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$10,000
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$10,090.38
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $3,600
Mortgage Interest: $400
Rent: $1,000
Healthcare: $5000

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State