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139 MEDICAL FACILITY P.C.

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Company Details

Name: 139 MEDICAL FACILITY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Apr 2002 (23 years ago)
Entity Number: 2750959
ZIP code: 10031
County: New York
Place of Formation: New York
Address: 3410-18 BROADWAY, 2ND FLOOR, NEW YORK, NY, United States, 10031
Principal Address: 3410-18 BROADWAY 2ND FL, NEW YORK, NY, United States, 10031

Contact Details

Phone +1 212-283-2099

Phone +1 212-470-1000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MOHAMMAD M HAQUE Chief Executive Officer 113-04 JEWEL AVE, FOREST HILLS, NY, United States, 11375

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3410-18 BROADWAY, 2ND FLOOR, NEW YORK, NY, United States, 10031

National Provider Identifier

NPI Number:
1235301631

Authorized Person:

Name:
DR. MUHAMMAD HAQUE JR.
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2002-04-03 2006-04-27 Address 3410-18 BROADWAY, 2ND FLOOR, NEW YORK, NY, 10031, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
060427003285 2006-04-27 BIENNIAL STATEMENT 2006-04-01
020403000887 2002-04-03 CERTIFICATE OF INCORPORATION 2002-04-03

USAspending Awards / Financial Assistance

Date:
2021-03-18
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:
51969.00
Total Face Value Of Loan:
51969.00
Date:
2020-04-28
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:
274500.00
Total Face Value Of Loan:
274500.00

Paycheck Protection Program

Date Approved:
2021-03-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
51969
Current Approval Amount:
51969
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
52144.13

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State