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FARSHAD SHAFIZADEH, M.D., P.C.

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Company Details

Name: FARSHAD SHAFIZADEH, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Aug 2004 (21 years ago)
Entity Number: 3087739
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 461 PARK AVEnue SOUTH 3rd FLR, NEW YORK, NY, United States, 10016
Principal Address: 461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, United States, 10016

Contact Details

Phone +1 212-777-8566

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 461 PARK AVEnue SOUTH 3rd FLR, NEW YORK, NY, United States, 10016

Chief Executive Officer

Name Role Address
FARSHAD SHATIZADEH, MD Chief Executive Officer 461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1881799906

Authorized Person:

Name:
DR. FARSHAD SHAFIZADEH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
6465368738

History

Start date End date Type Value
2022-02-03 2022-02-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-08-07 2022-02-05 Address 461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
2006-08-07 2022-02-05 Address 461 PARK AVE SOUTH 5TH FLR, NEW YORK, NY, 10016, USA (Type of address: Service of Process)
2004-08-06 2022-02-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2004-08-06 2006-08-07 Address 232 EAST 12TH STREET, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220205000159 2022-02-03 CERTIFICATE OF CHANGE BY ENTITY 2022-02-03
110208002938 2011-02-08 BIENNIAL STATEMENT 2010-08-01
080801002169 2008-08-01 BIENNIAL STATEMENT 2008-08-01
060807003173 2006-08-07 BIENNIAL STATEMENT 2006-08-01
040806000601 2004-08-06 CERTIFICATE OF INCORPORATION 2004-08-06

USAspending Awards / Financial Assistance

Date:
2021-03-12
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:
75885.00
Total Face Value Of Loan:
75885.00
Date:
2020-05-02
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:
85885.00
Total Face Value Of Loan:
75885.00

Paycheck Protection Program

Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
75885
Current Approval Amount:
75885
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
76432.43
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
85885
Current Approval Amount:
75885
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
76665.86

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State