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MUSTAPHA BOURARA, M.D., P.C.

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Company Details

Name: MUSTAPHA BOURARA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Nov 2008 (17 years ago)
Entity Number: 3742158
ZIP code: 11103
County: Queens
Place of Formation: New York
Address: 2427 STEINWAY ST, ASTORIA, NY, United States, 11103

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MUSTAPHA BOURARA DOS Process Agent 2427 STEINWAY ST, ASTORIA, NY, United States, 11103

Chief Executive Officer

Name Role Address
MUSTAPHA BOURARA Chief Executive Officer 2427 STEINWAY ST, ASTORIA, NY, United States, 11103

National Provider Identifier

NPI Number:
1114161932
Certification Date:
2025-02-07

Authorized Person:

Name:
MUSTAPHA BOURARA
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7187777055

History

Start date End date Type Value
2008-11-12 2010-11-16 Address 3217 45TH STREET, ASTORIA, NY, 11103, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
101116002083 2010-11-16 BIENNIAL STATEMENT 2010-11-01
081112000991 2008-11-12 CERTIFICATE OF INCORPORATION 2008-11-12

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$43,000
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$43,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,851.98
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $23,000
Refinance EIDL: $20,000

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State