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EVERGREEN MEDICAL CLINIC, P C

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Company Details

Name: EVERGREEN MEDICAL CLINIC, P C
Jurisdiction: New York
Legal type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 2002 (23 years ago)
Entity Number: 2821532
ZIP code: 11220
County: New York
Place of Formation: New Jersey
Principal Address: 77 Bowery 3F, NEW YORK, NY, United States, 10002
Address: 837 59TH STREET 1F, BROOKLYN, NY, United States, 11220

DOS Process Agent

Name Role Address
YONG KANG HE DOS Process Agent 837 59TH STREET 1F, BROOKLYN, NY, United States, 11220

Chief Executive Officer

Name Role Address
YONG KANG HE Chief Executive Officer 77 BOWERY 3F, NEW YORK, NY, United States, 10002

National Provider Identifier

NPI Number:
1518198944
Certification Date:
2021-11-22

Authorized Person:

Name:
MR. YONGKANG HE
Role:
INTERNAL MEDICINE
Phone:

Taxonomy:

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

Contacts:

Fax:
2129668217

History

Start date End date Type Value
2024-10-01 2024-10-01 Address 351 WALNUT STREET, LIVINGSTON, NJ, 07039, USA (Type of address: Chief Executive Officer)
2024-10-01 2024-10-01 Address 77 BOWERY 3F, NEW YORK, NY, 10002, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 351 WALNUT STREET, LIVINGSTON, NJ, 07039, USA (Type of address: Chief Executive Officer)
2023-11-01 2024-10-01 Address 77 BOWERY 3F, NEW YORK, NY, 10002, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 77 BOWERY 3F, NEW YORK, NY, 10002, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
241001036834 2024-10-01 BIENNIAL STATEMENT 2024-10-01
231101035469 2023-11-01 BIENNIAL STATEMENT 2022-10-01
210927002583 2021-09-27 BIENNIAL STATEMENT 2021-09-27
200707061795 2020-07-07 BIENNIAL STATEMENT 2018-10-01
180213002014 2018-02-13 BIENNIAL STATEMENT 2016-10-01

USAspending Awards / Financial Assistance

Date:
2020-06-10
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-16
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:
308647.00
Total Face Value Of Loan:
308647.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
308647
Current Approval Amount:
308647
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
310598.53

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State