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EDITH GRANNUM MD P.C.

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Company Details

Name: EDITH GRANNUM MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Mar 2008 (17 years ago)
Entity Number: 3647963
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 940 WEST FALL RD, ROCHESTER, NY, United States, 14618

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
EDITH GRANNUM MD Chief Executive Officer 940 WEST FALL RD, ROCHESTER, NY, United States, 14618

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 940 WEST FALL RD, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1104003235

Authorized Person:

Name:
DR. EDITH GWENDOLINE GRANNUM
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2010-05-04 2014-05-14 Address 1815 S CLINTON AVE, STE 330, ROCHESTER, NY, 14618, USA (Type of address: Chief Executive Officer)
2010-05-04 2014-05-14 Address 1815 S CLINTON AVE, STE 330, ROCHESTER, NY, 14618, USA (Type of address: Principal Executive Office)
2008-03-21 2014-05-14 Address 240 ALLENS CREEK ROAD, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140514002741 2014-05-14 BIENNIAL STATEMENT 2014-03-01
120420002548 2012-04-20 BIENNIAL STATEMENT 2012-03-01
100504002753 2010-05-04 BIENNIAL STATEMENT 2010-03-01
080321000521 2008-03-21 CERTIFICATE OF INCORPORATION 2008-03-21

USAspending Awards / Financial Assistance

Date:
2013-07-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
219000.00
Total Face Value Of Loan:
219000.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$61,704.45
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$61,704.45
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$62,116.2
Servicing Lender:
The Canandaigua National Bank and Trust Company
Use of Proceeds:
Payroll: $61,704.45

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State