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PARK PLACE MEDICAL P.C.

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Company Details

Name: PARK PLACE MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 22 Nov 2006 (19 years ago)
Date of dissolution: 16 Nov 2023
Entity Number: 3440986
ZIP code: 11216
County: Kings
Place of Formation: New York
Address: 910 PARK PLACE, BROOKLYN, NY, United States, 11216

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PARK PLACE MEDICAL P.C. DOS Process Agent 910 PARK PLACE, BROOKLYN, NY, United States, 11216

Chief Executive Officer

Name Role Address
MOHAMED MANJOUR, M.D. Chief Executive Officer 910 PARK PLACE, BROOKLYN, NY, United States, 11216

National Provider Identifier

NPI Number:
1932389731

Authorized Person:

Name:
DR. MOHAMMED MANSOUR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
7187733728

History

Start date End date Type Value
2010-11-22 2023-11-27 Address 910 PARK PLACE, BROOKLYN, NY, 11216, USA (Type of address: Chief Executive Officer)
2006-11-22 2023-11-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2006-11-22 2023-11-27 Address 910 PARK PLACE, BROOKLYN, NY, 11216, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231127003750 2023-11-16 CERTIFICATE OF DISSOLUTION-CANCELLATION 2023-11-16
101122002090 2010-11-22 BIENNIAL STATEMENT 2010-11-01
061122000345 2006-11-22 CERTIFICATE OF INCORPORATION 2006-11-22

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$31,277
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,277
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,646.52
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $24,277
Rent: $7,000

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State