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MARK RUSSELL MD P.C.

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Company Details

Name: MARK RUSSELL MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 May 2006 (19 years ago)
Entity Number: 3368015
ZIP code: 91739
County: Nassau
Place of Formation: New York
Address: 12223 HIGHLAND AVE STE. 106-536, RANCHO CUCAMONGA, CA, United States, 91739

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 12223 HIGHLAND AVE STE. 106-536, RANCHO CUCAMONGA, CA, United States, 91739

Chief Executive Officer

Name Role Address
MARK RUSSELL Chief Executive Officer 12223 HIGHLAND AVE STE. 106-536, RANCHO CUCAMONGA, CA, United States, 91739

National Provider Identifier

NPI Number:
1184668295

Authorized Person:

Name:
DR. MARK RUSSELL
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210909000766 2021-09-09 BIENNIAL STATEMENT 2021-09-09
060526001052 2006-05-26 CERTIFICATE OF INCORPORATION 2006-05-26

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$8,332
Date Approved:
2020-05-01
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,332
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $7,500
Utilities: $832

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State