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CRYSTAL MEDICAL CARE, P.C.

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Company Details

Name: CRYSTAL MEDICAL CARE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 2010 (15 years ago)
Entity Number: 4013842
ZIP code: 11373
County: Queens
Place of Formation: New York
Address: 75-17 41ST AVENUE, ELMHURST, NY, United States, 11373

Contact Details

Phone +1 718-803-6300

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
VISHWANATH PUTTASWAMY GOWDA Chief Executive Officer 75-17 41ST AVENUE, ELMHURST, NY, United States, 11373

DOS Process Agent

Name Role Address
VISHWANATH PUTTASWAMYGOWDA DOS Process Agent 75-17 41ST AVENUE, ELMHURST, NY, United States, 11373

National Provider Identifier

NPI Number:
1689972317

Authorized Person:

Name:
DR. VISHWANATH VALAGEREHALLY PUTTASWAMYGOWDA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7188032434

Filings

Filing Number Date Filed Type Effective Date
130104002331 2013-01-04 BIENNIAL STATEMENT 2012-11-01
101101000470 2010-11-01 CERTIFICATE OF INCORPORATION 2010-11-01

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$9,100
Date Approved:
2020-05-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$9,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$9,220.07
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $9,100

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State