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  5. BROCKPORT INTERNAL MEDICINE, P.C.

BROCKPORT INTERNAL MEDICINE, P.C.

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Company Details

Name: BROCKPORT INTERNAL MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Dec 2004 (21 years ago)
Entity Number: 3133394
ZIP code: 14420
County: Monroe
Place of Formation: New York
Address: 34 WEST AVE, BROCKPORT, NY, United States, 14420

Contact Details

Phone +1 585-637-2161

Phone +1 585-589-0146

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
PANKAJ GARG Chief Executive Officer 34 WEST AVE, BROCKPORT, NY, United States, 14420

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 34 WEST AVE, BROCKPORT, NY, United States, 14420

U.S. Small Business Administration Profile

Phone Number:
585-637-2161
E-mail Address:
34medicine@gmail.com
Fax Number:
585-637-5819
Contact Person:
ANITA GARG
User ID:
P3146160
Trade Name:
BROCKPORT INTERNAL MEDICINE PC

Unique Entity ID

Unique Entity ID:
NSGFZQHJX4F5
CAGE Code:
9WBH8
UEI Expiration Date:
2026-04-10

Business Information

Doing Business As:
BROCKPORT INTERNAL MEDICINE PC
Activation Date:
2025-04-14
Initial Registration Date:
2023-06-06

National Provider Identifier

NPI Number:
1144434408
Link:
View on NPI website

Authorized Person:

Name:
PANKAJ GARG
Role:
PRESIDENT
Phone:
5856372161

Taxonomy:

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

Contacts:

Fax:
5856375819
Phone:
+1 585-637-2161

Form 5500 Series

Employer Identification Number (EIN):
201726439
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
5856372161
File:
View File
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
5856372161
File:
View File
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
5856372161
File:
View File
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
5856372161
File:
View File
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
5856372161
File:
View File

History

Start date End date Type Value
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Chief Executive Officer)
2006-11-29 2014-07-25 Address 80 WEST AVE, STE 109, BROCKPORT, NY, 14420, USA (Type of address: Principal Executive Office)
2006-11-29 2014-07-25 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)
2004-12-03 2006-11-29 Address SUITE #109, 80 WEST AVENUE, BROCKPORT, NY, 14420, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
201203060448 2020-12-03 BIENNIAL STATEMENT 2020-12-01
161213006218 2016-12-13 BIENNIAL STATEMENT 2016-12-01
141208006943 2014-12-08 BIENNIAL STATEMENT 2014-12-01
140725002235 2014-07-25 BIENNIAL STATEMENT 2013-12-01
061129002881 2006-11-29 BIENNIAL STATEMENT 2006-12-01

USAspending Awards / Financial Assistance

Date:
2021-01-26
Link:
View on USAspending
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:
69623.63
Total Face Value Of Loan:
69623.63
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
9000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
Link:
View on USAspending
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:
68600.00
Total Face Value Of Loan:
68600.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$69,623.63
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$69,623.63
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$70,007.04
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $69,618.63
Utilities: $1
Jobs Reported:
9
Initial Approval Amount:
$68,600
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$68,600
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$68,960.62
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $68,600

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State

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