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COMPREHENSIVE FAMILY MEDICAL PRACTICE, P.C.

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Company Details

Name: COMPREHENSIVE FAMILY MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 31 Jan 2011 (14 years ago)
Entity Number: 4049240
ZIP code: 11361
County: Queens
Place of Formation: New York
Address: 42-23 212TH STREET, UNIT 1B,, BAYSIDE, NY, United States, 11361
Principal Address: 42-23 212TH STREET, UNIT 1B, BAYSIDE, NY, United States

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 42-23 212TH STREET, UNIT 1B,, BAYSIDE, NY, United States, 11361

Chief Executive Officer

Name Role Address
JIA PARK Chief Executive Officer 42-23 212TH STREET, UNIT 1B, BAYSIDE, NY, United States

National Provider Identifier

NPI Number:
1194023135
Certification Date:
2021-03-19

Authorized Person:

Name:
JIA PARK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8664576793

Filings

Filing Number Date Filed Type Effective Date
130109006161 2013-01-09 BIENNIAL STATEMENT 2013-01-01
110131000857 2011-01-31 CERTIFICATE OF INCORPORATION 2011-01-31

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$72,500
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$72,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$73,226.29
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $59,200
Utilities: $3,300
Rent: $10,000

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State