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PRACTICE PROVIDER CORP.

Company Details

Name: PRACTICE PROVIDER CORP.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 16 Mar 2011 (14 years ago)
Entity Number: 4068232
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 1225 FRANKLIN AVENUE, SUITE 325, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 1000

Share Par Value 0.1

Type PAR VALUE

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7R0V4 Active Non-Manufacturer 2016-11-09 2024-03-03 2025-09-16 2022-03-15

Contact Information

POC NANCY ROWE
Phone +1 516-458-5318
Fax +1 516-706-2150
Address 519 ROUTE 111SUITE 2, HAUPPAUGE, NY, 11788, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1225 FRANKLIN AVENUE, SUITE 325, GARDEN CITY, NY, United States, 11530

Filings

Filing Number Date Filed Type Effective Date
161025000145 2016-10-25 ERRONEOUS ENTRY 2016-10-25
DP-2193299 2016-08-31 DISSOLUTION BY PROCLAMATION 2016-08-31
110316000331 2011-03-16 CERTIFICATE OF INCORPORATION 2011-03-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1359637704 2020-05-01 0235 PPP 519 ROUTE 111, HAUPPAUGE, NY, 11788
Loan Status Date 2021-03-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57432
Loan Approval Amount (current) 57432
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HAUPPAUGE, SUFFOLK, NY, 11788-0001
Project Congressional District NY-01
Number of Employees 13
NAICS code 524298
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 57805.55
Forgiveness Paid Date 2021-02-12
3530508500 2021-02-24 0235 PPS 519 Route 111, Hauppauge, NY, 11788-4390
Loan Status Date 2022-03-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 57430
Loan Approval Amount (current) 57430
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hauppauge, SUFFOLK, NY, 11788-4390
Project Congressional District NY-02
Number of Employees 14
NAICS code 621999
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 57964.67
Forgiveness Paid Date 2022-02-03

Date of last update: 27 Mar 2025

Sources: New York Secretary of State