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CAREFIRST FAMILY MEDICAL P.C.

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Company Details

Name: CAREFIRST FAMILY MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Jun 2007 (18 years ago)
Entity Number: 3529413
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 2500 NESCONSET HIGHWAY, BLDG 6D, STONY BROOK, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2500 NESCONSET HIGHWAY, BLDG 6D, STONY BROOK, NY, United States, 11790

Chief Executive Officer

Name Role Address
FANGQIN LI Chief Executive Officer 2500 NESCONSET HIGHWAY, BLDG 6D, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1174719496

Authorized Person:

Name:
DR. FANGQIN LI
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6318648504

Form 5500 Series

Employer Identification Number (EIN):
260376865
Plan Year:
2024
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2007-06-11 2009-06-24 Address 163 SYCAMORE CIR, STONY BROOK, NY, 11790, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130710002015 2013-07-10 BIENNIAL STATEMENT 2013-06-01
110629002753 2011-06-29 BIENNIAL STATEMENT 2011-06-01
090624002139 2009-06-24 BIENNIAL STATEMENT 2009-06-01
070611001314 2007-06-11 CERTIFICATE OF INCORPORATION 2007-06-11

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$62,200
Date Approved:
2020-05-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$62,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$62,987.87
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $62,200

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State