Search icon

FORT WASHINGTON MEDICAL OFFICE, P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: FORT WASHINGTON MEDICAL OFFICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Nov 2004 (21 years ago)
Entity Number: 3131079
ZIP code: 10032
County: New York
Place of Formation: New York
Address: 66 FT WASHINGTON AVE, NEW YORK, NY, United States, 10032

Contact Details

Phone +1 212-927-0013

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
FAUSTO A GONZALEZ Chief Executive Officer 66 FT WASHINGTON AVE, NEW YORK, NY, United States, 10032

DOS Process Agent

Name Role Address
FAUSTO A GONZALEZ DOS Process Agent 66 FT WASHINGTON AVE, NEW YORK, NY, United States, 10032

National Provider Identifier

NPI Number:
1205870078
Certification Date:
2023-06-13

Authorized Person:

Name:
DR. FAUSTO A GONZALEZ
Role:
PARTNER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2129270014

History

Start date End date Type Value
2024-09-09 2025-03-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-07-09 2024-09-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-03 2024-07-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-03-25 2024-06-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-10-26 2008-10-28 Address 66 FT WASHINGTON AVE, NEW YORK, NY, 10032, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
121205002002 2012-12-05 BIENNIAL STATEMENT 2012-11-01
101207002776 2010-12-07 BIENNIAL STATEMENT 2010-11-01
081028002974 2008-10-28 BIENNIAL STATEMENT 2008-11-01
061026003145 2006-10-26 BIENNIAL STATEMENT 2006-11-01
041129000353 2004-11-29 CERTIFICATE OF INCORPORATION 2004-11-29

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$63,770
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$63,770
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$64,326.22
Servicing Lender:
Popular Bank
Use of Proceeds:
Payroll: $63,770
Jobs Reported:
12
Initial Approval Amount:
$59,000
Date Approved:
2021-03-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,000
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$59,344.17
Servicing Lender:
Popular Bank
Use of Proceeds:
Payroll: $59,000

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 29 Mar 2025

Sources: New York Secretary of State