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AFFINITY MEDICAL P.C.

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Company Details

Name: AFFINITY MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Nov 2011 (14 years ago)
Entity Number: 4165780
ZIP code: 11214
County: Kings
Place of Formation: New York
Address: 8635 21 AVENUE, STE 1A, BROOKLYN, NY, United States, 11214
Principal Address: ILYA DOMNICH, 221 COLERIDGE STREET, BROOKLYN, NY, United States, 11235

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 8635 21 AVENUE, STE 1A, BROOKLYN, NY, United States, 11214

Chief Executive Officer

Name Role Address
ILYA DOMNICH Chief Executive Officer 221 COLERIDGE STREET, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1386918100

Authorized Person:

Name:
DR. ILYA DOMNICH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2011-11-15 2024-07-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2011-11-15 2024-07-23 Address 8635 21 AVENUE, STE 1A, BROOKLYN, NY, 11214, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240723002616 2024-07-23 BIENNIAL STATEMENT 2024-07-23
111115000712 2011-11-15 CERTIFICATE OF INCORPORATION 2011-11-15

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$5,750
Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$5,750
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$5,788.75
Servicing Lender:
Signature Bank
Use of Proceeds:
Payroll: $5,749

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State