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BETHEL MEDICAL PRACTICE, P.C.

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Company Details

Name: BETHEL MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Nov 2007 (18 years ago)
Entity Number: 3591882
ZIP code: 10468
County: Bronx
Place of Formation: New York
Address: 2869 GRAND CONCOURSE, STE 1, BRONX, NY, United States, 10468

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DOMINGO A. SANTANA Chief Executive Officer 2869 GRAND CONCOURSE, STE 1, BRONX, NY, United States, 10468

DOS Process Agent

Name Role Address
DOMINGO A. SANTANA DOS Process Agent 2869 GRAND CONCOURSE, STE 1, BRONX, NY, United States, 10468

National Provider Identifier

NPI Number:
1710156211

Authorized Person:

Name:
DR. DOMINGO ANTHONIO SANTANA
Role:
M.D
Phone:

Taxonomy:

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

Contacts:

Fax:
7186764179

History

Start date End date Type Value
2013-03-08 2013-08-13 Address 2869 GRAND CONCOURSE, STE 1, BRONX, NY, 10468, USA (Type of address: Service of Process)
2009-11-25 2013-08-13 Address 2160 ANTHONY AVENUE, APT 4F, BRONX, NY, 10457, USA (Type of address: Chief Executive Officer)
2009-11-25 2013-08-13 Address 2869 GRAND CONCOURSE, STE 1, BRONX, NY, 10457, USA (Type of address: Principal Executive Office)
2007-11-09 2013-03-08 Address 2160 ANTHONY AVENUE APT. 4F, BRONX, NY, 10457, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140807002049 2014-08-07 BIENNIAL STATEMENT 2013-11-01
130813002349 2013-08-13 BIENNIAL STATEMENT 2011-11-01
130308001030 2013-03-08 CERTIFICATE OF CHANGE (BY AGENT) 2013-03-08
091125002308 2009-11-25 BIENNIAL STATEMENT 2009-11-01
071109000586 2007-11-09 CERTIFICATE OF INCORPORATION 2007-11-09

USAspending Awards / Financial Assistance

Date:
2020-06-16
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:
88900.00
Total Face Value Of Loan:
88900.00
Date:
2016-02-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
125000.00
Total Face Value Of Loan:
125000.00

Paycheck Protection Program

Date Approved:
2020-06-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
88900
Current Approval Amount:
88900
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
90060.64

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State