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EDWIN K. CHAN, M.D., P.C.

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Company Details

Name: EDWIN K. CHAN, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 08 Jan 2008 (18 years ago)
Entity Number: 3614573
ZIP code: 11354
County: Queens
Place of Formation: New York
Address: SUITE 6GB, 136-40 39TH AVENUE, FLUSHING, NY, United States, 11354
Principal Address: 136-40 39TH AVE, STE 6GB, FLUSHING, NY, United States, 11354

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O THE PROFESSIONAL CORPORATION DOS Process Agent SUITE 6GB, 136-40 39TH AVENUE, FLUSHING, NY, United States, 11354

Chief Executive Officer

Name Role Address
EDWIN K CHAN Chief Executive Officer 136-40 39TH AVE, STE 6GB, FLUSHING, NY, United States, 11354

National Provider Identifier

NPI Number:
1710113949

Authorized Person:

Name:
MS. EMILY LAM
Role:
BILLING
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7183218273

Form 5500 Series

Employer Identification Number (EIN):
262428393
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2024
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140205002254 2014-02-05 BIENNIAL STATEMENT 2014-01-01
120202002219 2012-02-02 BIENNIAL STATEMENT 2012-01-01
100211002632 2010-02-11 BIENNIAL STATEMENT 2010-01-01
080108000973 2008-01-08 CERTIFICATE OF INCORPORATION 2008-01-08

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$166,702
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$166,702
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$168,117.86
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $122,606
Utilities: $8,057
Mortgage Interest: $0
Rent: $24,228
Refinance EIDL: $0
Healthcare: $10752
Debt Interest: $1,059

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State