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NY PREMIER MEDICAL PRACTICE, P.C.

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Company Details

Name: NY PREMIER MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Nov 2010 (15 years ago)
Entity Number: 4019387
ZIP code: 11358
County: Queens
Place of Formation: New York
Address: 188-16 NORTHERN BLVD, FLUSHING, NY, United States, 11358

Contact Details

Phone +1 718-762-7000

Phone +1 347-420-9845

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 188-16 NORTHERN BLVD, FLUSHING, NY, United States, 11358

Chief Executive Officer

Name Role Address
JI HAN Chief Executive Officer 188-16 NORTHERN BLVD, FLUSHING, NY, United States, 11358

National Provider Identifier

NPI Number:
1881986743
Certification Date:
2023-08-01

Authorized Person:

Name:
MICHAEL I JO
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7187627002

Form 5500 Series

Employer Identification Number (EIN):
274004059
Plan Year:
2023
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
35
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
32
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
24
Sponsors Telephone Number:

History

Start date End date Type Value
2024-11-20 2024-11-20 Address 188-16 NORTHERN BLVD, FLUSHING, NY, 11358, USA (Type of address: Chief Executive Officer)
2024-11-20 2024-11-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-10 2024-11-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-06 2024-06-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2022-01-04 2023-06-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241120001561 2024-11-20 BIENNIAL STATEMENT 2024-11-20
210401002006 2021-04-01 AMENDMENT TO BIENNIAL STATEMENT 2020-11-01
210316000018 2021-03-16 CERTIFICATE OF CHANGE 2021-03-16
201102062054 2020-11-02 BIENNIAL STATEMENT 2020-11-01
180116006137 2018-01-16 BIENNIAL STATEMENT 2016-11-01

Paycheck Protection Program

Jobs Reported:
18
Initial Approval Amount:
$252,400
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$252,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$255,323.63
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $252,400

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State