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FRIEDRICH BOETTNER, MD, P.C.

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Company Details

Name: FRIEDRICH BOETTNER, MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Apr 2011 (14 years ago)
Entity Number: 4077368
ZIP code: 11530
County: New York
Place of Formation: New York
Address: 600 OLD COUNTRY RD., STE. 230, GARDEN CITY, NY, United States, 11530
Principal Address: 535 EAST 70TH ST, NEW YORK, NY, United States, 10021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
FRIEDRICH BOETTNER Chief Executive Officer 535 EAST 70TH ST, NEW YORK, NY, United States, 10021

DOS Process Agent

Name Role Address
C/O ANNA M. BOUTZALIS, SPA, P.C. DOS Process Agent 600 OLD COUNTRY RD., STE. 230, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1326322769

Authorized Person:

Name:
DR. FRIEDRICH BOETTNER
Role:
ATTENDING ORTHOPAEDIC SURGEON
Phone:

Taxonomy:

Selected Taxonomy:
207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6467978363

Form 5500 Series

Employer Identification Number (EIN):
452191755
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
130430002492 2013-04-30 BIENNIAL STATEMENT 2013-04-01
110405000681 2011-04-05 CERTIFICATE OF INCORPORATION 2011-04-05

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$146,100
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$146,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$147,849.14
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $146,100
Jobs Reported:
6
Initial Approval Amount:
$146,100
Date Approved:
2021-02-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$146,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$147,203.87
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $146,096
Utilities: $1

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State