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NEW YORK PHYSICIAN, PLLC

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Company Details

Name: NEW YORK PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Jun 2011 (14 years ago)
Entity Number: 4105104
ZIP code: 10017
County: New York
Place of Formation: New York
Address: 535 PARK AVENUE, FLR 4, NEW YORK, NY, United States, 10017

Contact Details

Phone +1 888-970-3777

DOS Process Agent

Name Role Address
NEW YORK PHYSICIAN, PLLC DOS Process Agent 535 PARK AVENUE, FLR 4, NEW YORK, NY, United States, 10017

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
85N20
UEI Expiration Date:
2019-08-23

Business Information

Division Name:
NEW YORK PHYSICIAN, PLLC
Activation Date:
2018-08-28
Initial Registration Date:
2018-08-06

National Provider Identifier

NPI Number:
1669804100
Certification Date:
2024-07-15

Authorized Person:

Name:
DR. SEKULEO GATHERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
8889703777
Fax:
8556910403

History

Start date End date Type Value
2021-03-10 2025-02-18 Address 200 PARK AVENUE, SUITE 1700, NEW YORK, NY, 10166, USA (Type of address: Service of Process)
2011-06-10 2021-03-10 Address 350 5TH AVENUE, #59TH FLR., NEW YORK, NY, 10118, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250218003135 2025-02-18 BIENNIAL STATEMENT 2025-02-18
220826002140 2022-08-26 BIENNIAL STATEMENT 2021-06-01
210310060756 2021-03-10 BIENNIAL STATEMENT 2019-06-01
180104006449 2018-01-04 BIENNIAL STATEMENT 2017-06-01
160407006008 2016-04-07 BIENNIAL STATEMENT 2015-06-01

USAspending Awards / Financial Assistance

Date:
2021-03-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
19202.00
Total Face Value Of Loan:
19202.00
Date:
2020-06-05
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

Paycheck Protection Program

Date Approved:
2021-03-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
19202
Current Approval Amount:
19202
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
19379.62

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State