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CONCOURSE VILLAGE PRIMARY CARE PLLC

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Company Details

Name: CONCOURSE VILLAGE PRIMARY CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Apr 2007 (18 years ago)
Entity Number: 3508609
ZIP code: 10451
County: Bronx
Place of Formation: New York
Address: 769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 769 CONCOURSE VILLAGE WEST, BRONX, NY, United States, 10451

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
JLSYFUL7LS53
CAGE Code:
95EW5
UEI Expiration Date:
2022-10-08

Business Information

Activation Date:
2021-09-10
Initial Registration Date:
2021-09-07

National Provider Identifier

NPI Number:
1093984981

Authorized Person:

Name:
DR. JEAN R. MACENAT
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7184024023

Form 5500 Series

Employer Identification Number (EIN):
208939043
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
150420006184 2015-04-20 BIENNIAL STATEMENT 2015-04-01
130409006524 2013-04-09 BIENNIAL STATEMENT 2013-04-01
110707002225 2011-07-07 BIENNIAL STATEMENT 2011-04-01
090414003106 2009-04-14 BIENNIAL STATEMENT 2009-04-01
070731000448 2007-07-31 CERTIFICATE OF PUBLICATION 2007-07-31

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
44495.00
Total Face Value Of Loan:
44495.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
44495
Current Approval Amount:
44495
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
45069.13

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State