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CITI MEDICAL OF CANARSIE P.C.

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Company Details

Name: CITI MEDICAL OF CANARSIE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Jul 2002 (23 years ago)
Entity Number: 2788109
ZIP code: 11230
County: Kings
Place of Formation: New York
Address: 1954 ROCKAWAY PARKWAY, BROOKLYN, NY, United States, 11230
Principal Address: 1954 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

Contact Details

Phone +1 718-209-8002

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DR. CLIFFORD YOUNG DOS Process Agent 1954 ROCKAWAY PARKWAY, BROOKLYN, NY, United States, 11230

Chief Executive Officer

Name Role Address
CLIFFORD YOUNG, MD Chief Executive Officer 1954 ROCKAWAY PKWY, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1942364286

Authorized Person:

Name:
CLIFFORD YOUNG
Role:
M.D.
Phone:

Taxonomy:

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

Contacts:

Fax:
7182094744

Filings

Filing Number Date Filed Type Effective Date
120907002083 2012-09-07 BIENNIAL STATEMENT 2012-07-01
100913002559 2010-09-13 BIENNIAL STATEMENT 2010-07-01
080717002557 2008-07-17 BIENNIAL STATEMENT 2008-07-01
070126002336 2007-01-26 BIENNIAL STATEMENT 2006-07-01
050310002201 2005-03-10 BIENNIAL STATEMENT 2004-07-01

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$35,716.67
Date Approved:
2021-02-25
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,716.67
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $35,712.67
Utilities: $1
Jobs Reported:
3
Initial Approval Amount:
$35,716.67
Date Approved:
2020-05-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$35,716.67
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$36,001.42
Servicing Lender:
Square Capital, LLC
Use of Proceeds:
Payroll: $35,716.67

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State