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GRAND STREET MEDICAL, PLLC

GRAND STREET MEDICAL, PLLC

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Company Details

Name:	GRAND STREET MEDICAL, PLLC
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status:	Active
Date of registration:	23 Apr 2001 (24 years ago)
Entity Number:	2630577
ZIP code:	10028
County:	Kings
Place of Formation:	New York
Address:	J. GANDHI, M.D., 80 EAST END AVE ST 14-B, NEW YORK, NY, United States, 10028

Contact Details

Phone +1 718-782-4768

Phone +1 718-963-0555

DOS Process Agent

Name	Role	Address
GRAND STREET MEDICAL, PLLC	DOS Process Agent	J. GANDHI, M.D., 80 EAST END AVE ST 14-B, NEW YORK, NY, United States, 10028

National Provider Identifier

NPI Number:

1568485985

Link:

View on NPI website

Authorized Person:

Name:

MRS. HEMA J GANDHI

Role:

ADMINISTRATION

Phone:

7187824768

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

No

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

No

Selected Taxonomy:

207RG0300X - Geriatric Medicine (Internal Medicine) Physician

Is Primary:

No

Selected Taxonomy:

208100000X - Physical Medicine & Rehabilitation Physician

Is Primary:

No

Selected Taxonomy:

208600000X - Surgery Physician

Is Primary:

No

Contacts:

Phone:

+1 212-734-9031

Fax:

2127942441

Phone:

+1 718-963-0555

Fax:

7189634889

Form 5500 Series

Employer Identification Number (EIN):

113601430

Plan Year:

2019

Number Of Participants:

3

Sponsors Telephone Number:

2127349031

File:

Plan Year:

2018

Number Of Participants:

3

Sponsors Telephone Number:

2127349031

File:

Plan Year:

2014

Number Of Participants:

74

Sponsors Telephone Number:

8453381535

File:

Plan Year:

2013

Number Of Participants:

71

Sponsors Telephone Number:

8453381535

File:

Plan Year:

2012

Number Of Participants:

68

Sponsors Telephone Number:

8453381535

History

Start date	End date	Type	Value
2011-05-24	2013-04-18	Address	J. GANDHI, 80 EAST END AVE ST 14-B, NEW YORK, NY, 10028, USA (Type of address: Service of Process)
2001-04-23	2011-05-24	Address	666 GRAND STREET, BROOKLYN, NY, 11211, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
130418006267	2013-04-18	BIENNIAL STATEMENT	2013-04-01
110524003011	2011-05-24	BIENNIAL STATEMENT	2011-04-01
090415003141	2009-04-15	BIENNIAL STATEMENT	2009-04-01
071003002032	2007-10-03	BIENNIAL STATEMENT	2007-04-01
050511002237	2005-05-11	BIENNIAL STATEMENT	2005-04-01

USAspending Awards / Financial Assistance

Date:

2020-05-03

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

34321.00

Total Face Value Of Loan:

34321.00

Paycheck Protection Program

Jobs Reported:

4

Initial Approval Amount:

$34,321

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$34,321

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$34,828.76

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $34,321

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State