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HEALTHWELL MEDICAL, P.C.

HEALTHWELL MEDICAL, P.C.

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Company Details

Name:	HEALTHWELL MEDICAL, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Inactive
Date of registration:	19 Oct 2004 (21 years ago)
Date of dissolution:	10 Dec 2021
Entity Number:	3115448
ZIP code:	11427
County:	Queens
Place of Formation:	New York
Address:	85-33 BELL BLVD, HOLLIS HILLS, NY, United States, 11427

Contact Details

Phone +1 718-886-1080

Phone +1 718-205-5616

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
FEI WANG	Chief Executive Officer	85-33 BELL BLVD, HOLLIS HILLS, NY, United States, 11427

DOS Process Agent

Name	Role	Address
HEALTHWELL MEDICAL, P.C.	DOS Process Agent	85-33 BELL BLVD, HOLLIS HILLS, NY, United States, 11427

National Provider Identifier

NPI Number:

1043466477

Link:

View on NPI website

Authorized Person:

Name:

DR. FEI WANG

Role:

PRESIDENT

Phone:

7188861080

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-886-1080

Fax:

7188861081

Form 5500 Series

Employer Identification Number (EIN):

201781499

Plan Year:

2019

Number Of Participants:

2

Sponsors Telephone Number:

7184454902

File:

Plan Year:

2019

Number Of Participants:

2

Sponsors Telephone Number:

7184454902

File:

Plan Year:

2018

Number Of Participants:

2

Sponsors Telephone Number:

7184454902

File:

Plan Year:

2017

Number Of Participants:

1

Sponsors Telephone Number:

7184454902

File:

Plan Year:

2017

Number Of Participants:

1

Sponsors Telephone Number:

7184454902

File:

History

Start date	End date	Type	Value
2020-10-02	2022-05-28	Address	85-33 BELL BLVD, HOLLIS HILLS, NY, 11427, USA (Type of address: Service of Process)
2015-06-26	2020-10-02	Address	85-33 BELL BLVD, HOLLIS HILLS, NY, 11427, USA (Type of address: Service of Process)
2015-06-26	2022-05-28	Address	85-33 BELL BLVD, HOLLIS HILLS, NY, 11427, USA (Type of address: Chief Executive Officer)
2006-10-16	2015-06-26	Address	65-26 183RD STREET, FRESH MEADOWS, NY, 11365, USA (Type of address: Principal Executive Office)
2006-10-16	2015-06-26	Address	65-26 183RD STREET, FRESH MEADOWS, NY, 11365, USA (Type of address: Chief Executive Officer)

Filings

Filing Number	Date Filed	Type	Effective Date
220528000838	2021-12-10	CERTIFICATE OF DISSOLUTION-CANCELLATION	2021-12-10
201002061100	2020-10-02	BIENNIAL STATEMENT	2020-10-01
181004007376	2018-10-04	BIENNIAL STATEMENT	2018-10-01
150626006082	2015-06-26	BIENNIAL STATEMENT	2014-10-01
121015006585	2012-10-15	BIENNIAL STATEMENT	2012-10-01

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$58,100

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$58,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$58,450.21

Servicing Lender:

Citibank, N.A.

Use of Proceeds:

Payroll: $58,100

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State