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ABBYDEK FAMILY MEDICAL PRACTICE, P.C.

ABBYDEK FAMILY MEDICAL PRACTICE, P.C.

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Company Details

Name:	ABBYDEK FAMILY MEDICAL PRACTICE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	04 Oct 2011 (14 years ago)
Entity Number:	4149285
ZIP code:	11366
County:	Queens
Place of Formation:	New York
Address:	7838 PARSONS BLVD, FLUSHING, NY, United States, 11366

Contact Details

Phone +1 516-216-4036

Phone +1 718-591-1600

Phone +1 718-342-2446

Phone +1 718-849-0702

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name	Role	Address
EMMANUEL O. FASHAKIN M.D.	Chief Executive Officer	7838 PARSONS BLVD, FLUSHING, NY, United States, 11366

DOS Process Agent

Name	Role	Address
ABBYDEK FAMILY MEDICAL PRACTICE, P.C.	DOS Process Agent	7838 PARSONS BLVD, FLUSHING, NY, United States, 11366

Agent

Name	Role	Address
SPIEGEL & UTRERA, P.A., P.C.	Agent	1 MAIDEN LANE, 5TH FLOOR, NEW YORK, NY, 10038

National Provider Identifier

NPI Number:

1447535323

Link:

View on NPI website

Authorized Person:

Name:

DR. EMMANUEL OLUSEGUN FASHAKIN

Role:

PRESIDENT

Phone:

7185911600

Taxonomy:

Selected Taxonomy:

261QP2300X - Primary Care Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 718-591-1600

Fax:

7185910265

History

Start date	End date	Type	Value
2013-10-31	2015-12-03	Address	79-35 153RD STREET, FLUSHING, NY, 11367, USA (Type of address: Chief Executive Officer)
2013-10-31	2015-12-03	Address	79-35 153RD STREET, FLUSHING, NY, 11367, USA (Type of address: Principal Executive Office)
2011-10-04	2022-12-20	Shares	Share type: PAR VALUE, Number of shares: 20000, Par value: 1
2011-10-04	2015-12-03	Address	7935 153RD STREET, FLUSHING, NY, 11367, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
171004006019	2017-10-04	BIENNIAL STATEMENT	2017-10-01
151203006602	2015-12-03	BIENNIAL STATEMENT	2015-10-01
131031006006	2013-10-31	BIENNIAL STATEMENT	2013-10-01
111104000526	2011-11-04	CERTIFICATE OF AMENDMENT	2011-11-04
111004000159	2011-10-04	CERTIFICATE OF INCORPORATION	2011-10-04

USAspending Awards / Financial Assistance

Date:

2020-06-02

Link:

View on USAspending

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:

399000.00

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$172,500

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$172,500

Race:

American Indian or Alaska Native

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$174,416.67

Servicing Lender:

TD Bank, National Association

Use of Proceeds:

Payroll: $172,500

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State