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SHIH-HAN CHAN MEDICAL P.C.

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Company Details

Name: SHIH-HAN CHAN MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Mar 2012 (13 years ago)
Entity Number: 4223210
ZIP code: 11731
County: Suffolk
Place of Formation: New York
Address: 192 CEDRUS AVENUE, EAST NORTHPORT, NY, United States, 11731

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 192 CEDRUS AVENUE, EAST NORTHPORT, NY, United States, 11731

National Provider Identifier

NPI Number:
1124364005

Authorized Person:

Name:
BONNIE OMEDES
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6312719155

Form 5500 Series

Employer Identification Number (EIN):
455074563
Plan Year:
2013
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2012-03-28 2022-06-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-03-28 2012-05-04 Address 192 CEDRUS AVENUE, NEW PORT, NY, 11731, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120504001311 2012-05-04 CERTIFICATE OF CORRECTION 2012-05-04
120328000453 2012-03-28 CERTIFICATE OF INCORPORATION 2012-03-28

USAspending Awards / Financial Assistance

Date:
2020-05-23
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:
-20832.00
Total Face Value Of Loan:
0.00

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State