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LISA C. WILLIAMS MSN, NURSE PRACTITIONER IN ADULT HEALTH, P.C.

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Company Details

Name: LISA C. WILLIAMS MSN, NURSE PRACTITIONER IN ADULT HEALTH, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 06 Nov 2008 (17 years ago)
Entity Number: 3740451
ZIP code: 11520
County: Nassau
Place of Formation: New York
Address: 39 PORTERFIELD PLACE, FREEPORT, NY, United States, 11520
Principal Address: 39 PORTERFIELD PL, FREEPORT, NY, United States, 11520

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 39 PORTERFIELD PLACE, FREEPORT, NY, United States, 11520

Chief Executive Officer

Name Role Address
LISA C WILLIAMS Chief Executive Officer 39 PORTERFIELD PL, FREEPORT, NY, United States, 11520

National Provider Identifier

NPI Number:
1629201256

Authorized Person:

Name:
MRS. LISA CARMELLA WILLIAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5162234717

Filings

Filing Number Date Filed Type Effective Date
130109007229 2013-01-09 BIENNIAL STATEMENT 2012-11-01
101103002039 2010-11-03 BIENNIAL STATEMENT 2010-11-01
081106000618 2008-11-06 CERTIFICATE OF INCORPORATION 2008-11-06

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$23,717
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,717
Race:
Black or African American
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$23,994.46
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $23,713
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$23,287
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,287
Race:
Black or African American
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$23,577.29
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $23,287

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State