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PARK SLOPE MEDICAL OFFICE, P.C.

PARK SLOPE MEDICAL OFFICE, P.C.

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Company Details

Name:	PARK SLOPE MEDICAL OFFICE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	17 Jul 2002 (23 years ago)
Entity Number:	2790597
ZIP code:	11215
County:	Kings
Place of Formation:	New York
Address:	459 7TH AVENUE, BROOKLYN, NY, United States, 11215

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
ANJAN RAU	DOS Process Agent	459 7TH AVENUE, BROOKLYN, NY, United States, 11215

Chief Executive Officer

Name	Role	Address
ANJAN RAU	Chief Executive Officer	459 7TH AVENUE, BROOKLYN, NY, United States, 11215

National Provider Identifier

NPI Number:

1730350653

Link:

View on NPI website

Authorized Person:

Name:

DR. ANJAN RAU

Role:

OWNER

Phone:

7188321964

Taxonomy:

Selected Taxonomy:

174400000X - Specialist

Is Primary:

Yes

Contacts:

Phone:

+1 718-832-1964

Fax:

7188320526

Form 5500 Series

Employer Identification Number (EIN):

731653937

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

7188321964

File:

Plan Year:

2022

Number Of Participants:

4

Sponsors Telephone Number:

7188321964

File:

Plan Year:

2021

Number Of Participants:

3

Sponsors Telephone Number:

7188321964

File:

Plan Year:

2020

Number Of Participants:

3

Sponsors Telephone Number:

7188321964

File:

Plan Year:

2019

Number Of Participants:

3

Sponsors Telephone Number:

7188321964

File:

History

Start date	End date	Type	Value
2024-07-30	2024-07-30	Address	459 7TH AVENUE, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2024-07-30	2024-07-30	Address	502A 9TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2023-11-17	2023-11-17	Address	459 7TH AVENUE, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)
2023-11-17	2024-07-30	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-17	2023-11-17	Address	502A 9TH ST, BROOKLYN, NY, 11215, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
240730018221	2024-07-30	BIENNIAL STATEMENT	2024-07-30
231117000661	2023-11-17	BIENNIAL STATEMENT	2022-07-01
040825002502	2004-08-25	BIENNIAL STATEMENT	2004-07-01
020717000527	2002-07-17	CERTIFICATE OF INCORPORATION	2002-07-17

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$44,200

Date Approved:

2021-03-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$44,200

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$44,632.18

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $44,199

Jobs Reported:

5

Initial Approval Amount:

$44,200

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$44,200

Race:

Unanswered

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$44,667.78

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $44,200

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State