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YASMIN COLLAZO MD P.C.

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Company Details

Name: YASMIN COLLAZO MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Oct 2009 (16 years ago)
Entity Number: 3872310
ZIP code: 10021
County: New York
Place of Formation: New York
Address: 240 EAST 76TH STREET, APT 14E, NEW YORK, NY, United States, 10021
Principal Address: 240 EAST 76TH ST, APT 1E, NEW YORK, NY, United States, 10021

Contact Details

Phone +1 212-426-1284

Phone +1 718-557-1100

Phone +1 718-519-4162

Phone +1 212-452-9671

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
YASMIN COLLAZO MD Chief Executive Officer 240 E 76TH ST, APT 1E, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 240 EAST 76TH STREET, APT 14E, NEW YORK, NY, United States, 10021

National Provider Identifier

NPI Number:
1689901498

Authorized Person:

Name:
DR. YASMIN M COLLAZO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2124529672

Form 5500 Series

Employer Identification Number (EIN):
271235358
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
111102002197 2011-11-02 BIENNIAL STATEMENT 2011-10-01
091028000285 2009-10-28 CERTIFICATE OF INCORPORATION 2009-10-28

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
17640.00
Total Face Value Of Loan:
17640.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$17,640
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$17,640
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$17,846.29
Servicing Lender:
Dime Community Bank
Use of Proceeds:
Payroll: $17,640

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State