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WENSONG LI, MEDICINE, P.C.

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Company Details

Name: WENSONG LI, MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Oct 2006 (19 years ago)
Entity Number: 3419665
ZIP code: 11355
County: Queens
Place of Formation: New York
Address: 9104 68TH AVENUE, FOREST HILLS, NY, United States, 11355
Principal Address: 91-04 68TH AVENUE, FOREST HILLS, NY, United States, 11355

Contact Details

Phone +1 718-567-7246

Phone +1 718-886-7246

Phone +1 718-886-8562

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 9104 68TH AVENUE, FOREST HILLS, NY, United States, 11355

Chief Executive Officer

Name Role Address
WENSONG LI, MD Chief Executive Officer 132-61 41ST ROAD / #201, FLUSHING, NY, United States, 11355

National Provider Identifier

NPI Number:
1609085810
Certification Date:
2021-10-18

Authorized Person:

Name:
DR. WENSONG LI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
7188867247

Form 5500 Series

Employer Identification Number (EIN):
205683809
Plan Year:
2024
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
25
Sponsors Telephone Number:

History

Start date End date Type Value
2006-10-02 2010-10-12 Address 91-04 68TH AVE, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121012006513 2012-10-12 BIENNIAL STATEMENT 2012-10-01
101012002755 2010-10-12 BIENNIAL STATEMENT 2010-10-01
061002000866 2006-10-02 CERTIFICATE OF INCORPORATION 2006-10-02

USAspending Awards / Financial Assistance

Date:
2014-01-09
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-74000.00
Total Face Value Of Loan:
701000.00
Date:
2013-08-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
200000.00
Total Face Value Of Loan:
200000.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$217,622.5
Date Approved:
2021-02-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$217,622.5
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$222,162.35
Servicing Lender:
Itria Ventures LLC
Use of Proceeds:
Payroll: $217,620.5
Utilities: $1
Jobs Reported:
8
Initial Approval Amount:
$259,300
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$259,300
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$262,137.89
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $259,300

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State