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B. FAJARDO, M.D., P.C.

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Company Details

Name: B. FAJARDO, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Dec 2004 (21 years ago)
Entity Number: 3133713
ZIP code: 10033
County: New York
Place of Formation: New York
Address: 140 WADSWORTH AVE, NEW YORK, NY, United States, 10033

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
BIENVENIDO FAJARDO, MD Chief Executive Officer 140 WADSWORTH AVE, NEW YORK, NY, United States, 10033

DOS Process Agent

Name Role Address
BIENVENIDO FAJARDO, MD DOS Process Agent 140 WADSWORTH AVE, NEW YORK, NY, United States, 10033

National Provider Identifier

NPI Number:
1770906802

Authorized Person:

Name:
BIENVENIDO FAJARDO
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2125431357

History

Start date End date Type Value
2007-03-21 2011-03-07 Address 149 WADSWORTH AVE, NEW YORK, NY, 10033, USA (Type of address: Chief Executive Officer)
2007-03-21 2011-03-07 Address 149 WADSWORTH AVE, NEW YORK, NY, 10033, USA (Type of address: Principal Executive Office)
2004-12-06 2011-03-07 Address 140 WADSWORTH AVENUE, NEW YORK, NY, 10013, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
161205006743 2016-12-05 BIENNIAL STATEMENT 2016-12-01
141215006335 2014-12-15 BIENNIAL STATEMENT 2014-12-01
121218002106 2012-12-18 BIENNIAL STATEMENT 2012-12-01
110307002236 2011-03-07 BIENNIAL STATEMENT 2010-12-01
081126002690 2008-11-26 BIENNIAL STATEMENT 2008-12-01

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$66,977
Date Approved:
2021-03-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$66,977
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$67,316.13
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $66,976

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State