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J. BARBAZAN-SILVA M.D. P.C.

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Company Details

Name: J. BARBAZAN-SILVA M.D. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Feb 2004 (21 years ago)
Entity Number: 3016911
ZIP code: 10128
County: New York
Place of Formation: New York
Address: 1111 PARK AVE, STE 1F, NEW YORK, NY, United States, 10128

Contact Details

Phone +1 212-828-1200

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1111 PARK AVE, STE 1F, NEW YORK, NY, United States, 10128

Chief Executive Officer

Name Role Address
JOSE BARBAZAN-SILVA MD Chief Executive Officer 1111 PARK AVE, STE 1F, NEW YORK, NY, United States, 10128

National Provider Identifier

NPI Number:
1437374279

Authorized Person:

Name:
MR. JOSE BARBAZAN-SILVA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2128317558

History

Start date End date Type Value
2006-03-03 2008-02-15 Address 1111 PARK AVE, STE 1F, NEW YORK, NY, 10128, 1234, USA (Type of address: Service of Process)
2004-02-24 2006-03-03 Address 200-05 56TH AVENUE, BAYSIDE, NY, 11364, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
100331002114 2010-03-31 BIENNIAL STATEMENT 2010-02-01
080215002479 2008-02-15 BIENNIAL STATEMENT 2008-02-01
060303002425 2006-03-03 BIENNIAL STATEMENT 2006-02-01
040224000055 2004-02-24 CERTIFICATE OF INCORPORATION 2004-02-24

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$34,305
Date Approved:
2020-06-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,305
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$34,503.31
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $34,305
Jobs Reported:
3
Initial Approval Amount:
$31,619
Date Approved:
2021-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,619
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,752.41
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $31,618

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State