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BOSTON ROAD MEDICAL PRACTICE, P.C.

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Company Details

Name: BOSTON ROAD MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Jun 2002 (23 years ago)
Entity Number: 2779496
ZIP code: 10804
County: Westchester
Place of Formation: New York
Address: 43 CALTON ROAD, STE 3-J, NEW ROCHELLE, NY, United States, 10804

Contact Details

Phone +1 718-863-8663

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 43 CALTON ROAD, STE 3-J, NEW ROCHELLE, NY, United States, 10804

National Provider Identifier

NPI Number:
1306816285

Authorized Person:

Name:
VALERI KAZAKOV
Role:
OWNER OF THE MEDICAL PRACTICE
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7188638261

Filings

Filing Number Date Filed Type Effective Date
020617000493 2002-06-17 CERTIFICATE OF INCORPORATION 2002-06-17

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$75,166.15
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$75,166.15
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$75,629.5
Servicing Lender:
Ponce Bank
Use of Proceeds:
Payroll: $75,166.15

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State