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RACHEL M. BAUTISTA, M.D., P.C.

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Company Details

Name: RACHEL M. BAUTISTA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Jul 2007 (18 years ago)
Entity Number: 3542599
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788

Chief Executive Officer

Name Role Address
RACHEL M BAUTISTA MD Chief Executive Officer 227 MT PLEASANT RD, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1659564383

Authorized Person:

Name:
DIANE RAINONE
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207K00000X - Allergy & Immunology Physician
Is Primary:
Yes

Contacts:

Fax:
6313603317

History

Start date End date Type Value
2007-07-12 2009-08-03 Address 300 EAST MAIN STREET SUITE 6, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150603006768 2015-06-03 BIENNIAL STATEMENT 2013-07-01
110803002851 2011-08-03 BIENNIAL STATEMENT 2011-07-01
090803003033 2009-08-03 BIENNIAL STATEMENT 2009-07-01
070712001037 2007-07-12 CERTIFICATE OF INCORPORATION 2007-07-12

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
18335.00
Total Face Value Of Loan:
18335.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
18335
Current Approval Amount:
18335
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
18450.54

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State