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GRAHAM WELLNESS MEDICAL, P.C.

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Company Details

Name: GRAHAM WELLNESS MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 2009 (16 years ago)
Entity Number: 3852298
ZIP code: 11206
County: Kings
Place of Formation: New York
Address: 104 GRAHAM AVENUE, BROOKLYN, NY, United States, 11206
Principal Address: 104 GRAHAM AVE, BROOKLYN, NY, United States, 11206

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
GORDON C DAVIS DOS Process Agent 104 GRAHAM AVENUE, BROOKLYN, NY, United States, 11206

Chief Executive Officer

Name Role Address
GORDON C DAVIS Chief Executive Officer 104 GRAHAM AVE, BROOKLYN, NY, United States, 11206

National Provider Identifier

NPI Number:
1386941300

Authorized Person:

Name:
DR. GORDON CHARLES DAVIS
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7182186634

History

Start date End date Type Value
2025-06-28 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-06-10 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-05-27 2025-06-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-29 2025-05-27 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-02-27 2025-04-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240814003162 2024-08-14 BIENNIAL STATEMENT 2024-08-14
131003002243 2013-10-03 BIENNIAL STATEMENT 2013-09-01
090903000072 2009-09-03 CERTIFICATE OF INCORPORATION 2009-09-03

USAspending Awards / Financial Assistance

Date:
2020-06-17
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:
52765.00
Total Face Value Of Loan:
52765.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$52,765
Date Approved:
2020-06-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$52,765
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$53,158.21
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $52,765

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State