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CONCOURSE MEDICAL OFFICE, P.C.

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Company Details

Name: CONCOURSE MEDICAL OFFICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Apr 2001 (24 years ago)
Entity Number: 2629332
ZIP code: 10704
County: Bronx
Place of Formation: New York
Address: P.O. BOX 617, YONKERS, NY, United States, 10704
Principal Address: 3184 GRAND CONCOURSE, APT 2E, BRONX, NY, United States, 10458

Contact Details

Phone +1 718-220-4380

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent P.O. BOX 617, YONKERS, NY, United States, 10704

Chief Executive Officer

Name Role Address
RAJI AYINLA MD Chief Executive Officer 4 HAWTHORNE DR, NEW ROCHELLE, NY, United States, 10801

National Provider Identifier

NPI Number:
1568698132

Authorized Person:

Name:
DR. RAJI MOHAMMED AYINLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
134169835
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200813060565 2020-08-13 BIENNIAL STATEMENT 2019-04-01
030519002267 2003-05-19 BIENNIAL STATEMENT 2003-04-01
010418000470 2001-04-18 CERTIFICATE OF INCORPORATION 2001-04-18

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$37,500
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$37,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$37,917.52
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $15,000
Utilities: $6,700
Mortgage Interest: $4,000
Rent: $10,800
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $1,000

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State