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GRACE FAMILY MEDICAL PRACTICE, P.C.

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Company Details

Name: GRACE FAMILY MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Dec 2002 (23 years ago)
Entity Number: 2848915
ZIP code: 10306
County: Kings
Place of Formation: New York
Address: 157 CEDAR GROVE AVENUE, STATEN ISLAND, NY, United States, 10306

Contact Details

Phone +1 718-257-3355

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 157 CEDAR GROVE AVENUE, STATEN ISLAND, NY, United States, 10306

National Provider Identifier

NPI Number:
1043232143
Certification Date:
2022-03-17

Authorized Person:

Name:
DR. BERNADETTE LIZINA SHERIDAN
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
7182574562

Form 5500 Series

Employer Identification Number (EIN):
300163860
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
021224000011 2002-12-24 CERTIFICATE OF INCORPORATION 2002-12-24

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$134,202
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$134,202
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$136,101.7
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $106,767
Utilities: $700
Rent: $13,125
Healthcare: $13610

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State