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KATHLEEN VINE M.D., P.C.

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Company Details

Name: KATHLEEN VINE M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Jul 2012 (13 years ago)
Entity Number: 4275812
ZIP code: 10012
County: New York
Place of Formation: New York
Address: 155 SPRING STREET, 4TH FLOOR, NEW YORK, NY, United States, 10012

Contact Details

Phone +1 646-421-6064

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
KATHLEEN VINE M.D., P.C. DOS Process Agent 155 SPRING STREET, 4TH FLOOR, NEW YORK, NY, United States, 10012

National Provider Identifier

NPI Number:
1942612866

Authorized Person:

Name:
KATHLEEN R VINE
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
460685242
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
120726000561 2012-07-26 CERTIFICATE OF INCORPORATION 2012-07-26

Paycheck Protection Program

Jobs Reported:
24
Initial Approval Amount:
$153,375
Date Approved:
2021-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$153,375
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Blue Ridge Bank, National Association
Use of Proceeds:
Payroll: $153,370
Utilities: $1
Jobs Reported:
24
Initial Approval Amount:
$152,268
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$152,268
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$154,908.7
Servicing Lender:
Customers Bank
Use of Proceeds:
Payroll: $152,268

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State