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WISDOM MEDICAL P.C.

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Company Details

Name: WISDOM MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jan 2007 (18 years ago)
Entity Number: 3463951
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: 13620 38TH AVE, SUITE 6E, FLUSHING, NY, United States, 11354

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
LISEN LIU, MD Chief Executive Officer 136-20 38TH AVE, SUITE 6E, FLUSHING, NY, United States, 11354

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 13620 38TH AVE, SUITE 6E, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1871612044

Authorized Person:

Name:
LISEN LIU
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7189392663

History

Start date End date Type Value
2023-10-25 2023-10-25 Address 136-20 38TH AVE, SUITE 6E, FLUSHING, NY, 11354, USA (Type of address: Chief Executive Officer)
2015-06-24 2023-10-25 Address 136-20 38TH AVE, SUITE 6E, FLUSHING, NY, 11354, USA (Type of address: Chief Executive Officer)
2015-06-24 2023-10-25 Address 13620 38TH AVE, SUITE 6E, FLUSHING, NY, 11354, USA (Type of address: Service of Process)
2007-01-18 2023-10-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-01-18 2015-06-24 Address 136-25 MAPLE AVE#201, FLUSHING, NY, 11355, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231025002709 2023-10-25 BIENNIAL STATEMENT 2023-01-01
150624002008 2015-06-24 BIENNIAL STATEMENT 2015-01-01
070118000498 2007-01-18 CERTIFICATE OF INCORPORATION 2007-01-18

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
53800.00
Total Face Value Of Loan:
53800.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
53800
Current Approval Amount:
53800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
54609.99

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State