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FULTON FAMILY MEDICINE PRACTICE, P.C.

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Company Details

Name: FULTON FAMILY MEDICINE PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Dec 2011 (14 years ago)
Entity Number: 4181547
ZIP code: 13069
County: Oswego
Place of Formation: New York
Address: 1782 STATE ROUTE 48, FULTON, NY, United States, 13069

Contact Details

Phone +1 315-598-1237

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ESTHER S LUMBINGA Chief Executive Officer 1782 STATE ROUTE 48, FULTON, NY, United States, 13069

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1782 STATE ROUTE 48, FULTON, NY, United States, 13069

National Provider Identifier

NPI Number:
1275806036

Authorized Person:

Name:
DR. ESTHER SERWADDA LUBINGA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2011-12-28 2014-01-31 Address 1782 STATE RT 48, FULTON, NY, 13069, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140131002151 2014-01-31 BIENNIAL STATEMENT 2013-12-01
111228000593 2011-12-28 CERTIFICATE OF INCORPORATION 2011-12-28

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$59,787.5
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$59,787.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$60,344.42
Servicing Lender:
Community Bank, National Association
Use of Proceeds:
Payroll: $59,787.5

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State