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WELLPOINT FAMILY MEDICAL, P.C.

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Company Details

Name: WELLPOINT FAMILY MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Apr 2000 (25 years ago)
Entity Number: 2495522
ZIP code: 11432
County: Queens
Place of Formation: New York
Principal Address: 63-57 108TH ST, FOREST HILLS, NY, United States, 11375
Address: 176-76 80TH RD, JAMAICA ESTATES, NY, United States, 11432

Contact Details

Phone +1 718-997-9055

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 176-76 80TH RD, JAMAICA ESTATES, NY, United States, 11432

Chief Executive Officer

Name Role Address
NINA ZILBERMAN Chief Executive Officer 176-76 80TH RD, JAMAICA ESTATES, NY, United States, 11432

National Provider Identifier

NPI Number:
1790803252

Authorized Person:

Name:
NINA ZILBERMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7189979060

Filings

Filing Number Date Filed Type Effective Date
060502002393 2006-05-02 BIENNIAL STATEMENT 2006-04-01
040510002770 2004-05-10 BIENNIAL STATEMENT 2004-04-01
030207002454 2003-02-07 BIENNIAL STATEMENT 2002-04-01
000406000227 2000-04-06 CERTIFICATE OF INCORPORATION 2000-04-06

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$31,187
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,187
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$31,560.55
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $31,181
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$26,602
Date Approved:
2020-05-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$26,602
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Non-Veteran
Forgiveness Amount:
$26,874.29
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $26,602

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State