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JUAN A ALBA M.D., P.C.

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Company Details

Name: JUAN A ALBA M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Sep 2004 (21 years ago)
Entity Number: 3103094
ZIP code: 11747
County: New York
Place of Formation: New York
Address: 510 BROADHOLLOW ROAD, SUITE 307C, MELVILLE, NY, United States, 11747

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 510 BROADHOLLOW ROAD, SUITE 307C, MELVILLE, NY, United States, 11747

National Provider Identifier

NPI Number:
1144071978
Certification Date:
2024-03-29

Authorized Person:

Name:
DR. JUAN A ALBA
Role:
MEDICAL DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
201482556
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
040916000799 2004-09-16 CERTIFICATE OF INCORPORATION 2004-09-16

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$40,986
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,986
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$41,321.75
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $40,986

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State